Payer Overview
Blue Cross Blue Shield of North Dakota Market Analysis: Market Share and Coverage by State
Blue Cross Blue Shield of North Dakota is a regional health insurer focused on serving North Dakota with concentrated market strength. Their scale and single-state footprint shape contracting leverage and network strategy locally.
Payer Overview
Blue Cross Blue Shield of North Dakota is a focused regional health insurer that sits as the #78 ranked US A&H payer by reported premium. The company reports $1.64B in US premium with a US market share of 0.11%, operating across 1 states and serving an estimated 325K members, with the strongest position in North Dakota where it holds the top market rank. The organization operates through 0 affiliated subsidiaries and concentrates its business on a single-state footprint, which informs a tight geographic strategy for provider contracting and network development.
National Market Presence
| State | Market Share | Premium Written | Estimated Members |
|---|---|---|---|
| ND | 50.04% | $1.64B | 325K |
| National Total | — | $1.64B | 325K |
Blue Cross Blue Shield of North Dakota is highly concentrated in a single state, with $1.64B in premium written exclusively in North Dakota, serving roughly 325K members. This level of concentration concentrates negotiating leverage locally and means national or multi-state provider groups will have limited footprint exposure with this payer. For providers operating primarily in North Dakota, the payer represents a dominant local contracting counterparty; for multi-state systems the payer will be a minor component of overall network revenue due to its single-state focus.
State-by-State Market Position
Estimated Member Demographics
| Age Band | North Dakota | National Total |
|---|---|---|
| Under 6 | 24,030 | 24,030 |
| 6–18 | 57,160 | 57,160 |
| 19–25 | 36,986 | 36,986 |
| 26–34 | 41,640 | 41,640 |
| 35–44 | 45,324 | 45,324 |
| 45–54 | 35,766 | 35,766 |
| 55–64 | 39,737 | 39,737 |
| 65–74 | 25,366 |
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.