Aetna employer health plans in Kansas
Who Aetna insures among Kansas employers and what those plans pay in premium and broker compensation, and what the Aetna network pays physicians and hospitals.
Aetna employer health plans in Kansas at a glance
What the data shows
Aetna insures 28 employer health plans in Kansas (8% of 331 insured large plans), 4th of 8 carrier groups; Blue Cross Blue Shield (214), UnitedHealthcare (31) hold more.
Aetna has shrunk 12% in Kansas since 2020, from 32 plans, as insured plans moved carrier or to self-funding.
Most of these plans cover 100–499 people (21 plans); 1 cover 1,000 or more.
Median premium per person covered was $5,563, 4% below the Kansas all-carrier median of $5,787. Benefit design and group mix differ, so this is not a price comparison.
82% of these plans reported broker or agent pay on their Aetna contracts; where paid, the median was 3.0% of premium (middle half 0.8%–5.1%).
In Aetna commercial, 28 of the 50 Employer 50 services have a Kansas benchmark, at a median of 131% of Medicare across those services.
At Kansas hospitals, Aetna's commercial rates run higher than other carriers' at the same hospital for 10 of 10 services; a hip or knee replacement stay has a median rate of $20,112 across 5 hospitals.
Aetna plans in Kansas, 2020–2024
| Form year | Plans | Persons covered | Share of state | Median premium / person |
|---|---|---|---|---|
| 2020 | 32 | 8,434 | 9% | $5,252 |
| 2021 | 36 | 10,194 | 11% | $5,653 |
| 2022 | 35 | 11,240 | 11% | $4,955 |
| 2023 | 38 | 10,795 | 11% | $5,340 |
| 2024 | 28 | 9,215 | 8% | $5,563 |
| 2025 (partial) | 13 | 5,973 | 6% | $5,570 |
Plan size
| Persons covered | Plans | Share |
|---|---|---|
| Under 100 | 3 | 11% |
| 100–499 | 21 | 75% |
| 500–999 | 3 | 11% |
| 1,000–4,999 | 1 | 4% |
| 5,000 or more | 0 | 0% |
Premiums and broker pay
| Measure | Aetna | All carriers, Kansas |
|---|---|---|
| Median premium per person covered | $5,563 | $5,787 |
| Premium per person, middle half | $4,242–$7,571 | $4,150–$7,978 |
| Plans reporting broker or agent pay | 82% | 70% |
| Median broker pay, % of premium | 3.0% | 3.5% |
| Broker pay, middle half | 0.8%–5.1% | 2.1%–5.1% |
| Median broker pay per person covered | $180 | $216 |
Industries
Aetna's Kansas employer clients are concentrated in health care and social assistance (7 plans) and manufacturing (6), followed by professional and technical services (4).
| Industry | Plans | Share |
|---|---|---|
| Health care and social assistance | 7 | 25% |
| Manufacturing | 6 | 21% |
| Professional and technical services | 4 | 14% |
| Retail trade | 2 | 7% |
| Construction | 2 | 7% |
| Finance and insurance | 2 | 7% |
Aetna employer clients in Kansas
27 employers in Kansas have a Aetna major-medical contract, 1 of them covering 1,000 or more people. For each one Medlyze has the plan year, the broker on each contract and what that broker was paid, and compiles the list for a state, an industry or a single employer on request.
| Employer | Persons covered | Plan year ends | Broker | Broker pay, % of premium |
|---|---|---|---|---|
| Employer name | Locked | Locked | Locked | Locked |
| Employer name | Locked | Locked | Locked | Locked |
| Employer name | Locked | Locked | Locked | Locked |
What the Aetna network pays physicians in Kansas
| Service | Code | Median | Middle half | % of Medicare | Other networks, median | Provider groups |
|---|---|---|---|---|---|---|
| Diagnostic heart catheterization with coronary angiography | 93458 | $461 | $389–$461 | 161% | $469 | 37 |
| Echocardiogram, transthoracic complete with Doppler | 93306 | $313 | $243–$313 | 159% | $410 | 43 |
| Electrocardiogram (EKG), complete | 93000 | $23 | $21–$23 | 151% | $30 | 40 |
| Nuclear stress test (SPECT myocardial perfusion) | 78452 | $479 | $479–$509 | 112% | $667 | 40 |
| Treadmill stress test, complete | 93015 | $119 | $101–$119 | 162% | $142 | 33 |
| Cataract removal with lens implant | 66984 | $604 | $604–$864 | 131% | $718 | 56 |
| Abdominal ultrasound, complete | 76700 | $45 | $37–$55 | 121% | $53 | 132 |
| Bone density scan (DXA), axial | 77080 | $11 | $9–$13 | 119% | $13 | 128 |
| CT abdomen and pelvis with contrast | 74177 | $397 | $342–$459 | 132% | $460 | 136 |
| CT chest without contrast | 71250 | $69 | $56–$82 | 139% | $72 | 134 |
| Chest X-ray, 2 views | 71046 | $36 | $31–$40 | 109% | $44 | 137 |
| MRI brain without and with contrast | 70553 | $532 | $441–$785 | 168% | $600 | 131 |
| MRI cervical spine without contrast | 72141 | $440 | $263–$494 | 231% | $377 | 128 |
| MRI knee (lower-extremity joint) without contrast | 73721 | $456 | $294–$508 | 223% | $397 | 127 |
| MRI lumbar spine without contrast | 72148 | $434 | $279–$499 | 226% | $378 | 133 |
Professional fee only: facility, implant and anesthesia charges are not included. Limited: rates come from a sample of providers, and groups are counted only in specialties that perform the service.
What the Aetna network pays hospitals in Kansas
Aetna commercial rates are on record at 34 Kansas hospitals (the hospitals covered so far, not every hospital). Compared at the same hospitals, Aetna's rate is higher than the other carriers' median for 10 of 10 services and lower for 0. For MRI, lower back, the rate runs from $136 to $3,703 across 8 hospitals.
This page shows 3 of the 12 services in full. The other rates, the size of each gap and every hospital's prices are in the Plan Cost Benchmark.
| Service | Hospitals | Median rate | Range (P10–P90) | vs other carriers, same hospitals | Cash price, median |
|---|---|---|---|---|---|
| Hip or knee replacement (hospital stay) | 5 | $20,112 | $11,434–$22,499 | Higher | – |
| C-section delivery (hospital stay) | 5 | Locked | Locked | Higher | Locked |
| Vaginal delivery (hospital stay) | 5 | Locked | Locked | Higher | Locked |
| MRI, lower back | 8 | $630 | $136–$3,703 | Higher | $560 |
| MRI, knee | 8 | Locked | Locked | Higher | Locked |
| CT, head | 9 | Locked | Locked | Higher | Locked |
| CT, abdomen and pelvis | 5 | Locked | Locked | Higher | Locked |
| Colonoscopy, diagnostic | 5 | Locked | Locked | – | Locked |
| Upper GI endoscopy with biopsy | 5 | Locked | Locked | – | Locked |
| Emergency visit, level 4 | 6 | $840 | $354–$4,297 | Higher | – |
| Comprehensive metabolic panel | 8 | Locked | Locked | Higher | Locked |
| Complete blood count | 8 | Locked | Locked | Higher | Locked |
Hospitals with the most published Aetna rates
| Hospital | Joint replacement | MRI lower back | CT abdomen | Colonoscopy | ER level 4 | Vaginal delivery |
|---|---|---|---|---|---|---|
| Ascension Via Christi Rehabilitation Hospital | – | Locked | Locked | Locked | Locked | Locked |
| Ascension Via Christi St Teresa | – | Locked | Locked | Locked | Locked | Locked |
| Kansas Medical Center | – | Locked | Locked | Locked | Locked | Locked |
| Kansas Surgery & Recovery Center | $21,610 | Locked | Locked | Locked | Locked | Locked |
| Kingman Healthcare Center | – | Locked | Locked | Locked | Locked | Locked |
| Lawrence Memorial Hospital | – | Locked | Locked | Locked | Locked | Locked |
| Menorah Medical Center | $22,499 | Locked | Locked | Locked | Locked | Locked |
| Newton Medical Center | $20,112 | Locked | Locked | Locked | Locked | Locked |
| Saint John Hospital | $19,443 | Locked | Locked | Locked | Locked | Locked |
| Summit Surgical | – | Locked | Locked | Locked | Locked | Locked |
How the contracts are written: case rates 29%, fee schedules 17%, per diem 4%, percent of billed charges 39%, other 11% of Aetna's published commercial rates for these services in Kansas.
Employers: see all 12 services and every hospital near your people in a Plan Cost Benchmark →
Hospital facility rate only: physician, anesthesia and implant charges are separate. Rates are what hospitals publish, not claims paid, and are not weighted by use.
Carriers in Kansas
| Carrier | Plans | Share | Median premium / person | Median broker % |
|---|---|---|---|---|
| Blue Cross Blue Shield | 214 | 65% | $5,967 | 3.1% |
| UnitedHealthcare | 31 | 9% | $6,038 | 4.0% |
| Cigna | 31 | 9% | $3,011 | 9.9% |
| Aetna | 28 | 8% | $5,563 | 3.0% |
| Other insurers (regional and local plans) | 26 | 8% | $153 | 10.0% |
| Kaiser Permanente | 9 | 3% | $7,978 | 5.0% |
| Anthem (Elevance Health) | 2 | 1% | $6,183 | 1.9% |
| Humana | 1 | 0% | $2,421 | – |
Aetna in other states
FAQ
How many Kansas employers have Aetna health insurance?
28 employer health plans in Kansas reported a Aetna major-medical contract in their 2024 filings, covering 9,215 persons. Self-funded plans that Aetna only administers are not counted.
What is Aetna's share of the Kansas insured employer market?
8% of insured large employer health plans, 4th of 8 carrier groups by plan count.
How much do brokers earn on Aetna plans in Kansas?
Where broker or agent pay was reported, the median was 3.0% of premium (3.5% across all carriers in Kansas).
Can I see the figures for a specific employer?
Yes. Brokers can request an Employer Account Brief on one employer, or a Prospect List for this market. Employers can request a Plan Cost Benchmark for their own plan. Use the request form on this page.
About these numbers
- Plans counted: the 28 Kansas employer health plans with a Aetna major-medical contract in their 2024 filings. Self-funded plans that Aetna only administers are not counted here.
- Premium and broker figures: 28 contracts with 20+ persons covered and a reported premium; broker percentages use the 23 contracts that reported broker or agent pay.
- Network rates: Aetna commercial, professional fees only, from a sample of providers.
- Hospital prices: Aetna commercial rates at Kansas hospitals; stay and facility prices only.
- Full method and limits: how the employer health plan data is built.