Blue Cross Blue Shield · Kansas · commercial in-network
Blue Cross Blue Shield negotiated rates in Kansas
How Blue Cross Blue Shield's Kansas rates compare with the other three national payers, across the procedures that matter most to high-revenue specialties.
Blue Cross Blue Shield in Kansas at a glance
Across 228 procedure codes for 8 specialties
Rate index vs state market
101
1% above the Kansas median
Rank in state
3 of 4
UHC 102 · Cigna 101 · BCBS 101 · Aetna 85
vs own national
102
BCBS's level vs its national median
Codes where highest
33%
of 228 codes
What the data shows
Generated from Kansas and Blue Cross Blue Shield data only
1
Blue Cross Blue Shield ranks 3rd of 4 payers in Kansas with a rate index of 101 (100 = the Kansas market median), across 228 procedure codes.
2
Blue Cross Blue Shield has the highest median for only 33% of codes in Kansas; UnitedHealthcare leads with an index of 102 in the files analyzed.
3
Blue Cross Blue Shield's Kansas rates sit 2% above its own national level, the 21st highest of its 51 states.
4
Largest premium over the Kansas market: CPT 76512 (Oph us dx b-scan) at 245% of market; largest discount: CPT 36482 (Endoven ther chem adhes 1st) at 74%.
5
In Kansas, BCBS rates come from 37 licensee file sets; the largest is BCBS KS (632 sampled providers).
How the four payers compare in Kansas
Rate index: 100 = the state four-payer median for the same codes
| Payer | Index | Rank | Level | Highest on | Providers |
|---|---|---|---|---|---|
| UnitedHealthcare | 102 | 1 | 37% | 640 | |
| Cigna | 101 | 2 | 25% | 674 | |
| Blue Cross Blue Shield | 101 | 3 | 33% | 749 | |
| Aetna | 85 | 4 | 4% | 475 |
Where Blue Cross Blue Shield pays most and least against the Kansas market
Codes with the largest gap to the state median
Highest above market
| Code | BCBS | Market | Gap | Prov. |
|---|---|---|---|---|
| 76512 Oph us dx b-scan | $137 | $56 | +145% | 99 |
| 93298 Rem interrog dev eval scrms | $116 | $71 | +64% | 117 |
| 92025 Cptrized corneal topography | $58 | $39 | +50% | 99 |
| 74176 Ct abd & pelvis w/o contrast | $421 | $282 | +49% | 104 |
| 77080 Dxa bone density axial | $92 | $63 | +46% | 104 |
| 76857 Us exam pelvic limited | $96 | $66 | +46% | 92 |
| 88305 Tissue exam by pathologist | $113 | $78 | +45% | 131 |
| 70450 Ct head/brain w/o dye | $244 | $171 | +43% | 104 |
Furthest below market
| Code | BCBS | Market | Gap | Prov. |
|---|---|---|---|---|
| 36482 Endoven ther chem adhes 1st | $202 | $271 | -26% | 117 |
| 99496 Transj care mgmt high f2f 7d | $205 | $275 | -26% | 66 |
| 99495 Transj care mgmt mod f2f 14d | $150 | $196 | -24% | 65 |
| 51729 Cystometrogram w/vp&up | $354 | $462 | -23% | 92 |
| 36465 Njx noncmpnd sclrsnt 1 vein | $141 | $182 | -22% | 117 |
| 92928 Prq tcat plmt ntrac st 1 les | $769 | $980 | -22% | 117 |
| 93656 Compre ep eval abltj atr fib | $1,335 | $1,696 | -21% | 117 |
| 99497 Advncd care plan 30 min | $85 | $105 | -20% | 66 |
Where Blue Cross Blue Shield pays above and below its national level
Index vs the payer's own national median (100 = national)
Highest states
| State | Index | Prov. | |
|---|---|---|---|
| Alaska | 243 | 290 | |
| Wisconsin | 192 | 733 | |
| Minnesota | 171 | 671 | |
| North Dakota | 148 | 329 | |
| Wyoming | 145 | 256 |
Lowest states
| State | Index | Prov. | |
|---|---|---|---|
| Maryland | 63 | 758 | |
| Arizona | 66 | 479 | |
| Texas | 69 | 1,003 | |
| District of Columbia | 69 | 484 | |
| New Mexico | 74 | 562 |
Blue Cross Blue Shield licensees in Kansas
File sets contributing rates; licensees are different companies
| Licensee file set | Sampled providers |
|---|---|
| BCBS KS | 632 |
| BCBS Kansas City | 363 |
| Community Insurance Company | 106 |
| HealthKeepers, Inc. | 84 |
| Matthew Thornton Health Plan, Inc. | 37 |
| BCBS TX | 34 |
| Healthy Alliance Life Insurance Company | 27 |
| BCBS IL | 13 |
| Anthem (Elevance) | 11 |
| Wellmark | 10 |
| BCBS NC | 9 |
| Blue Cross and Blue Shield of Massachusetts HMO Blue, Inc. | 8 |
| BCBS MA | 6 |
| Regence | 6 |
| Premera | 6 |
| Blue Shield of California Life & Health Insurance Company | 6 |
| BS CA | 6 |
| BCBS OK | 6 |
| BCBS MI | 6 |
| Blue Cross and Blue Shield of Nebraska | 6 |
| HMO Colorado, Inc. | 5 |
| Compcare Health Services Insurance Corporation | 4 |
| BCBS MT | 4 |
| BCBS HI | 4 |
| Capital BC | 3 |
| Capital BlueCross | 3 |
| BCBS NM | 3 |
| Blue Cross Blue Shield of Wyoming | 2 |
| BCBS TN | 2 |
| BCBS AZ | 2 |
| BCBS AL | 2 |
| HMO Missouri, Inc. | 2 |
| BCBS RI | 2 |
| Excellus BCBS | 1 |
| BCBS VT | 1 |
| Carefirst BCBS | 1 |
| BCBS MN | 1 |
Frequently asked questions
Does Blue Cross Blue Shield pay more or less than the other payers in Kansas?
Blue Cross Blue Shield ranks 3rd of 4 in Kansas with an index of 101. It is highest on 33% of codes.
Are Blue Cross Blue Shield's Kansas rates above or below its national level?
About 2% above.
Which procedure does Blue Cross Blue Shield pay most above market in Kansas?
CPT 76512 (Oph us dx b-scan), at 245% of the Kansas median.
Methodology
How these numbers are calculated
- Source: in-network negotiated-rate files published under the federal Transparency in Coverage rule, August 2026 snapshot: UnitedHealthcare Choice plans (74 files); Aetna commercial plans (70 files); Cigna national PPO (1 files); BCBS licensees' own-network files (5,387 files). Payer comparisons describe these files, not each payer's entire book of business.
- Sample: rates come from a random sample of up to 150 providers per state and specialty. Counts on this page are sampled providers and TINs, not totals.
- Which providers count: only providers in a specialty relevant to the code, because a rate in a payer file attaches to a provider group and is listed under every provider in that group.
- Filters: fee-for-service, professional billing class, no modifier, negotiated or fee-schedule dollar rates. Rates outside 1% to 1,000% of the Medicare rate are excluded.
- Statistic: one median rate per provider, then percentiles across providers. A cell is shown only with at least 15 sampled providers and 4 TINs.
- Medicare benchmark: CY2026 national physician fee schedule, non-QPP conversion factor, unadjusted for locality. Where the non-facility rate is more than twice the facility rate (office rates that include device or supply cost), the facility rate is used so comparisons are like for like.
Is your Blue Cross Blue Shield contract at market in Kansas?
Compare your negotiated rates for these codes with Kansas medians for each payer.