Cardiology · Kansas

Cardiology commercial reimbursement in Kansas

How Kansas cardiology rates compare with the national market.

Cardiology in Kansas

38 codes · 121 sampled providers
Index vs national
102
2% above
Rank among states
23 of 51
1 = highest
Codes above national
23 of 38
median code at 102%
Providers
121
sampled

What the data shows

1

Cardiology ranks 23rd of 51 states in Kansas with an index of 102 (100 = the specialty's national median), across 38 codes and 121 sampled providers.

2

Of the 38 cardiology codes with enough data in Kansas, 23 pay above the national median and 15 below; the typical code sits at 102% of the national median.

3

Largest premium over the national median: CPT 93298 (Rem interrog dev eval scrms) at 135%; largest discount: CPT 20610 (Drain/inj joint/bursa w/o us) at 87%.

4

Measured against Medicare, Kansas cardiology rates have a median of 155% of the Medicare rate across these codes.

Codes above and below the national median

The five largest gaps in each direction

Highest vs national

CodeKansasNationalGapProv.
93298
Rem interrog dev eval scrms
$71$52+35%121
93297
Rem interrog dev eval icpms
$58$52+12%121
92928
Prq tcat plmt ntrac st 1 les
$980$887+10%121
78452
Ht muscle image spect mult
$672$609+10%121
93010
Electrocardiogram report
$14$13+9%121

Lowest vs national

CodeKansasNationalGapProv.
20610
Drain/inj joint/bursa w/o us
$72$83-13%121
99490
Chrnc care mgmt staff 1st 20
$55$60-7%116
99212
Office o/p est sf 10 min
$48$51-6%121
99213
Office o/p est low 20 min
$86$91-5%121
99215
Office o/p est hi 40 min
$177$185-4%121

All cardiology codes in Kansas

Median across payers vs the specialty's national median and the Medicare rate; sorted by premium
CodeKansasNationalGap% of MedicareProvidersTINsLevel
CPT 93298
Rem interrog dev eval scrms
$71$52+35%68%121130
CPT 93297
Rem interrog dev eval icpms
$58$52+12%96%121130
CPT 92928
Prq tcat plmt ntrac st 1 les
$980$887+10%211%121130
CPT 78452
Ht muscle image spect mult
$672$609+10%157%121129
CPT 93010
Electrocardiogram report
$14$13+9%165%121130
CPT 93970
Extremity study
$294$275+7%160%121132
CPT 93306
Tte w/doppler complete
$337$317+7%172%121131
CPT 93312
Echo transesophageal
$411$387+6%171%121130
CPT 93296
Rem interrog evl pm/ids
$41$39+6%131%121129
CPT 93229
Remote 30 day ecg tech supp
$1,151$1,088+6%152%121127
CPT 93925
Lower extremity study
$368$349+6%155%121131
CPT 93294
Rem interrog evl pm/ldls pm
$51$48+6%172%121129
CPT 33208
Insrt heart pm atrial & vent
$863$819+5%189%121131
CPT 93656
Compre ep eval abltj atr fib
$1,696$1,615+5%210%121130
CPT 93351
Stress tte complete
$384$366+5%164%121130
CPT 93880
Extracranial bilat study
$293$283+4%155%121132
CPT 93280
Pm device progr eval dual
$109$105+4%139%121130
CPT 99454
Rem mntr physiol param 16-30
$77$75+3%148%121129
CPT 93016
Cv stress test supvj only
$35$34+2%167%121130
CPT 93015
Cv stress test supvj i&r
$122$120+2%166%121131
CPT 99204
Office o/p new mod 45 min
$193$192+1%109%121133
CPT 93308
Tte f-up or lmtd
$156$155+1%154%121131
CPT 75574
Ct angio hrt w/3d image
$499$495+1%153%121129
CPT 93458
L hrt artery/ventricle angio
$1,573$1,573-0%156%121126
CPT 99205
Office o/p new hi 60 min
$249$250-0%105%121133
CPT 99457
Rpm tx mgmt 1st 20 min
$52$53-1%101%121129
CPT 33285
Insj subq car rhythm mntr
$134$135-1%176%119128
CPT 99214
Office o/p est mod 30 min
$129$131-1%95%121133
CPT 93000
Electrocardiogram complete
$25$25-2%162%121132
CPT 33361
Replace aortic valve perq
$1,902$1,938-2%176%121129
CPT 36465
Njx noncmpnd sclrsnt 1 vein
$182$185-2%172%119127
CPT 36482
Endoven ther chem adhes 1st
$271$278-2%171%119127
CPT 99203
Office o/p new low 30 min
$118$122-3%101%121133
CPT 99215
Office o/p est hi 40 min
$177$185-4%92%121133
CPT 99213
Office o/p est low 20 min
$86$91-5%90%121133
CPT 99212
Office o/p est sf 10 min
$48$51-6%81%121133
CPT 99490
Chrnc care mgmt staff 1st 20
$55$60-7%84%116119
CPT 20610
Drain/inj joint/bursa w/o us
$72$83-13%105%121132

Frequently asked questions

How do Kansas cardiology rates compare with the rest of the country?

Kansas ranks 23rd of 51 states with an index of 102; 23 of 38 codes are above the national median.

Which cardiology code has the biggest premium in Kansas?

CPT 93298 (Rem interrog dev eval scrms), at 135% of the national median.

Are these Medicare or commercial rates?

Commercial in-network negotiated rates from four national payers' published files; the Medicare comparison column uses the CY2026 Medicare physician fee schedule.

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.

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