Commercial healthcare reimbursement in Kansas
How Kansas compares with the nation, by payer, specialty and procedure.
Kansas at a glance
What the data shows
Kansas ranks 31st of 51 states for commercial reimbursement, with an index of 96 (100 = national median) across 228 procedure codes; the Midwest region averages 115.
Commercial rates in Kansas run a median 147% of Medicare.
UnitedHealthcare has the highest index in the state (102) and Aetna the lowest (85), a 17-point gap, in the files analyzed.
CPT 93298 (Rem interrog dev eval scrms) is the strongest relative to the national median (135% of it, a 35% premium); CPT 51702 (Insert temp bladder cath) is furthest below (69% of the national median, 31% lower).
By specialty, Kansas is strongest for cardiology (ranks 23rd of 51 states for that specialty) and weakest for urology (41st of 50).
Against Medicare, gastroenterology has the highest ratio in Kansas (174% of Medicare) and dermatology the lowest (99%).
Payer ranking in Kansas
| Payer | Index | Rank | Level | Codes | Providers | TINs |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 102 | 1 | 228 | 640 | 415 | |
| Cigna | 101 | 2 | 228 | 674 | 447 | |
| Blue Cross Blue Shield | 101 | 3 | 228 | 749 | 528 | |
| Aetna | 85 | 4 | 228 | 475 | 416 |
Reimbursement index by specialty in Kansas
| Specialty | Index | Rank among states | % of Medicare | Level | Codes | Providers |
|---|---|---|---|---|---|---|
| Cardiology | 102 | 23 of 51 | 155% | 38 | 121 | |
| Dermatology | 101 | 25 of 50 | 99% | 44 | 73 | |
| Ophthalmology | 96 | 27 of 50 | 118% | 42 | 106 | |
| Internal medicine | 94 | 30 of 51 | 101% | 25 | 110 | |
| Gastroenterology | 96 | 30 of 50 | 174% | 36 | 62 | |
| Orthopedic surgery | 93 | 35 of 51 | 124% | 39 | 109 | |
| Diagnostic radiology | 93 | 36 of 51 | 152% | 49 | 116 | |
| Urology | 87 | 41 of 50 | 148% | 37 | 93 |
Specialty by payer in Kansas
| Specialty | UHC | Aetna | Cigna | BCBS |
|---|---|---|---|---|
| Internal medicine | 100 | 71 | 107 | 88 |
| Dermatology | 115 | 73 | 100 | 102 |
| Ophthalmology | 100 | 75 | 87 | 110 |
| Cardiology | 110 | 98 | 108 | 93 |
| Orthopedic surgery | 87 | 81 | 101 | 95 |
| Diagnostic radiology | 88 | 80 | 102 | 103 |
| Urology | 90 | 69 | 86 | 94 |
| Gastroenterology | 113 | 82 | 98 | 99 |
Kansas compared with Midwest region states
Procedures that pay most and least in Kansas vs the nation
Highest vs national
| Code | Kansas | National | Gap | Prov. |
|---|---|---|---|---|
| 93298 Rem interrog dev eval scrms | $71 | $52 | +35% | 121 |
| 88313 Special stains group 2 | $84 | $71 | +19% | 62 |
| 52224 Cystoscopy and treatment | $520 | $459 | +13% | 93 |
| 88342 Imhchem/imcytchm 1st antb | $107 | $95 | +12% | 73 |
| 88312 Special stains group 1 | $109 | $97 | +12% | 135 |
| 93297 Rem interrog dev eval icpms | $58 | $52 | +12% | 121 |
| 88305 Tissue exam by pathologist | $78 | $70 | +11% | 135 |
| 52332 Cystoscopy and treatment | $400 | $360 | +11% | 93 |
| 91110 Gi trc img intral esoph-ile | $1,300 | $1,175 | +11% | 62 |
| 92928 Prq tcat plmt ntrac st 1 les | $980 | $887 | +10% | 121 |
| 96574 Dbrdmt prmlg les w/pdt | $348 | $315 | +10% | 71 |
| 93010 Electrocardiogram report | $14 | $13 | +9% | 121 |
| 67904 Repair eyelid defect | $884 | $816 | +8% | 106 |
| 78452 Ht muscle image spect mult | $667 | $617 | +8% | 231 |
| 96910 Photchmtx tar&uvb/ptrltm&uvb | $134 | $125 | +7% | 72 |
Lowest vs national
| Code | Kansas | National | Gap | Prov. |
|---|---|---|---|---|
| 51702 Insert temp bladder cath | $42 | $61 | -31% | 93 |
| 51700 Irrigation of bladder | $55 | $77 | -29% | 93 |
| 64566 Neuroeltrd stim post tibial | $52 | $69 | -25% | 93 |
| 52648 Laser surgery of prostate | $1,156 | $1,508 | -23% | 93 |
| 52287 Cystoscopy chemodenervation | $282 | $367 | -23% | 93 |
| 99487 Cplx chrnc care 1st 60 min | $96 | $121 | -21% | 101 |
| 20611 Drain/inj joint/bursa w/us | $93 | $117 | -20% | 107 |
| 26055 Incise finger tendon sheath | $489 | $614 | -20% | 108 |
| 76512 Oph us dx b-scan | $56 | $70 | -20% | 106 |
| 77067 Scr mammo bi incl cad | $146 | $182 | -20% | 116 |
| 67840 Remove eyelid lesion | $206 | $253 | -19% | 106 |
| 51728 Cystometrogram w/vp | $430 | $520 | -17% | 93 |
| 51729 Cystometrogram w/vp&up | $462 | $554 | -17% | 93 |
| 77066 Dx mammo incl cad bi | $192 | $225 | -15% | 116 |
| 11301 Shave skin lesion 0.6-1.0 cm | $72 | $85 | -15% | 73 |
Frequently asked questions
How do commercial reimbursement rates in Kansas compare with the rest of the country?
Kansas ranks 31st of 51 states with an index of 96, across 228 procedure codes. Median commercial rates run 147% of the Medicare rate.
Which payer has the highest rates in Kansas?
In the files we analyzed, UnitedHealthcare has the highest index (102) and Aetna the lowest (85). Each payer's figures describe the specific plans and networks in the files used, not its whole book of business.
Which specialty has the strongest rates in Kansas?
Cardiology ranks 23rd of 51 states.
How many providers does this Kansas page cover?
790 sampled providers across 4 payers. The data comes from a random sample of providers, so counts describe the sample, not every provider in the state.
Which procedures differ most between Kansas and the national median?
CPT 93298 (Rem interrog dev eval scrms) is highest relative to the nation at 135% of the national median; CPT 51702 (Insert temp bladder cath) is lowest at 69%.
Methodology
- 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.
Benchmark your Kansas contracts
Compare your negotiated rates with these state medians by payer and specialty.