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Regional Payer (Kansas, Missouri)Blue Cross Blue Shield (BCBS) family

Payer price transparency data

BCBS Kansas City

BCBS Kansas City is a regional (Kansas, Missouri) health insurer, part of the Blue Cross Blue Shield (BCBS) family. They report 110 insurance plans covering 21K providers across 56K billing codes.

Source: public Transparency in Coverage filesRefreshed monthly, latest September 202619 monthly releases tracked

Monthly release

110

Plans

21K

Providers (NPIs)

XX% vs prior month

1.9K

Tax IDs

XX% vs prior month

56K

Billing codes

30M

Rate rows

XX% vs prior month

September 2026 release

What's in BCBS Kansas City's data

A profile of the machine-readable files BCBS Kansas City publishes, after PayerPrice parses and normalizes them.

Billing code types

Distinct codes and rate rows by code system

CodesRows
  • CPT11K21M70%
  • HCPCS5.9K9.1M30%
  • CDT64024K<0.1%
  • CSTM-ALL1410<0.1%
  • MS-DRG55077<0.1%
  • APC1063<0.1%
  • RC11058<0.1%
  • ICD38K2<0.1%

Billing class

Professional vs. institutional rate rows

  • Professional30M100%
  • Institutional530<0.1%

Negotiation arrangement

How each rate is expressed

  • Negotiated29M97%
  • Fee Schedule710K2.3%
  • Percentage220K0.7%
  • Per Diem2.1K<0.1%

Plan identifiers

HIOS IDs mark individual and small-group plans; EINs mark employer plans

  • HIOS ID9993%
  • EIN87.5%

Providers by type

Distinct NPIs by entity type

  • Individual (Type 1)21K100%
  • Organization (Type 2)16<0.1%

Tax IDs by type

How provider groups are identified

  • EIN1.9K100%

Top states

States with the most providers in network

  • Missouri10K
  • Kansas7.7K
  • Florida280
  • Texas240
  • Illinois180
  • Colorado130

Top specialties

Provider taxonomies with the most NPIs

  • Family Nurse Practitioner1.6K
  • Physical Therapist1.3K
  • Clinical Social Worker960
  • Certified Registered Nurse Anesthetist930
  • Family Medicine Physician920
  • Professional Counselor790

These are the files. Want the rates inside them?

Look up BCBS Kansas City's negotiated rates by provider, TIN, billing code and plan.

Month-over-month history

Track how network size and rate volume change with each monthly release.

MonthPlansNPIsTax IDsBilling codesRate rows
September 202611021K1.9K56K30M
August 202611020K1.8K56K35M
July 202611018K1.7K56K42M
June 2026————
May 2026————

Data quality scorecard

6/6Good

This payer meets all 6 data quality criteria — their transparency files are comprehensive and well-structured.

Evaluated on the September 2026 release.

  • Professional & Institutional Rates

    Data includes both professional and institutional billing class rates

  • Valid Tax IDs

    More than 80% of Tax IDs are EIN or NPI (Organization) type

  • HIOS Plan

    Data includes at least one HIOS-identified plan

  • Low Derived/Percentage Rates

    Less than 10% of negotiation entries are derived or percentage type

  • Standard Code Coverage

    Sufficient CPT and HCPCS code coverage with low proportion of LOCAL entries

  • Common Taxonomies

    NPIs in the dataset cover at least 50 distinct provider taxonomies

How the score works

Each monthly release is checked against six criteria. 5–6 passing criteria rate Good, 3–4 rate Acceptable, and 0–2 rate Poor.

Behavioral, RX, and other specialty networks may not pass all criteria but can still contain complete and usable data.

Access the data

BCBS Kansas City's negotiated rates, in the tools your team already uses

PayerPrice turns raw transparency files into one clean, normalized dataset across 180+ payers, refreshed every month. Pick how you want to work with it.

UI

Web app

Search BCBS Kansas City's rates by code, provider or market and export the results. No setup required.

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API

REST API

Pull negotiated rates, providers and benchmarks into your own products and pipelines.

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SQL

Snowflake & Databricks

Query the full normalized dataset with SQL or PySpark, shared directly into your warehouse.

See data sharing
AI

MCP server

Ask Claude, Cursor or your own agents questions like "What does BCBS Kansas City pay for CPT 99213 near me?"

Read the MCP docs
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Frequently asked questions

About BCBS Kansas City's price transparency data.

What price transparency data does BCBS Kansas City publish?

BCBS Kansas City's September 2026 Transparency in Coverage files list 110 plans, 21K providers (NPIs), 1.9K tax IDs and 56K billing codes, for 30M negotiated rate rows in total.

Which states does BCBS Kansas City's network cover?

BCBS Kansas City's files include providers in 51 states. The states with the most in-network providers are Missouri, Kansas, Florida, Texas, Illinois.

How often is BCBS Kansas City's data updated?

Payers must post updated machine-readable files every month. PayerPrice processes BCBS Kansas City's files monthly; the latest processed release is September 2026, and 19 monthly releases are available.

What is the Transparency in Coverage rule?

Since July 2022, the federal Transparency in Coverage rule has required most group health plans and health insurers to publish machine-readable files of their in-network negotiated rates and out-of-network allowed amounts, updated monthly. These files are the source for the data on this page.

How can I access BCBS Kansas City's negotiated rates?

Start a free PayerPrice trial to search BCBS Kansas City's rates in the web app, or book a demo to get the full dataset through the REST API, SQL in Snowflake or Databricks, or AI assistants through the PayerPrice MCP server.