Excellus BlueCross BlueShield Contracted Health Care Provider Rates

As part of the Federal Consolidated Appropriations Act (CAA), new Transparency in Coverage rules have been established by the Centers for Medicare & Medicaid Services (CMS), including a multi-year initiative that requires health plans to share contracted prices for all health care items and services. The first phase of these requirements begins July 1, 2022.

Excellus BlueCross BlueShield (BCBS) has provided the link below where you can find the following information:
  • In-network provider contracted rates for items and services
  • Out-of-network allowed amounts and billed charges for items and services
 
Please note that the link below is to a machine-readable file and is designed for a machine (i.e., computer) to read and will not be user-friendly for members.  The best user experience for Excellus BCBS members will be to login to their online account (www.excellusbcbs.com) to access the cost estimation tool where you will be able to see both the cost of services (“contracted rates”) and how your own medical plan benefits will apply to those rates.
 
Excellus Online Member Link:
 

If you have any questions, please contact Excellus directly at 877-253-4797.