Aetna · Kansas · commercial in-network

Aetna negotiated rates in Kansas

How Aetna's Kansas rates compare with the other three national payers, across the procedures that matter most to high-revenue specialties.

Aetna in Kansas at a glance

Across 228 procedure codes for 8 specialties
Rate index vs state market
85
15% below the Kansas median
Rank in state
4 of 4
UHC 102 · Cigna 101 · BCBS 101 · Aetna 85
vs own national
98
Aetna's level vs its national median
Codes where highest
4%
of 228 codes
475 sampled providers416 TINs228 codesMedian 130% of Medicare · method

What the data shows

Generated from Kansas and Aetna data only
1

Aetna ranks 4th of 4 payers in Kansas with a rate index of 85 (100 = the Kansas market median), across 228 procedure codes.

2

Aetna has the highest median for only 4% of codes in Kansas; UnitedHealthcare leads with an index of 102 in the files analyzed.

3

Aetna's Kansas rates sit 2% below its own national level, the 29th highest of its 51 states.

4

Largest premium over the Kansas market: CPT 93298 (Rem interrog dev eval scrms) at 228% of market; largest discount: CPT 45384 (Colonoscopy w/lesion removal) at 52%.

How the four payers compare in Kansas

Rate index: 100 = the state four-payer median for the same codes
PayerIndexRankLevelHighest onProviders
UnitedHealthcare1021
102
37%640
Cigna1012
101
25%674
Blue Cross Blue Shield1013
101
33%749
Aetna854
85
4%475

Where Aetna pays most and least against the Kansas market

Codes with the largest gap to the state median

Highest above market

CodeAetnaMarketGapProv.
93298
Rem interrog dev eval scrms
$161$71+128%49
90960
Esrd srv 4 visits p mo 20+
$763$426+79%35
93297
Rem interrog dev eval icpms
$89$58+53%49
73221
Mri joint upr extrem w/o dye
$457$375+22%118
70551
Mri brain stem w/o dye
$443$370+20%65
73721
Mri jnt of lwr extre w/o dye
$436$373+17%118
72141
Mri neck spine w/o dye
$410$353+16%65
93280
Pm device progr eval dual
$126$109+15%50

Furthest below market

CodeAetnaMarketGapProv.
45384
Colonoscopy w/lesion removal
$272$524-48%23
52332
Cystoscopy and treatment
$209$400-48%75
52224
Cystoscopy and treatment
$271$520-48%51
99454
Rem mntr physiol param 16-30
$42$77-46%75
92136
Ophthalmic biometry
$37$66-44%81
99348
Home/res vst est low mdm 30
$65$111-42%35
52000
Cystourethroscopy
$108$182-41%75
92134
Cptrz oph dx img pst sgm rta
$25$42-40%82

Where Aetna pays above and below its national level

Index vs the payer's own national median (100 = national)

Highest states

StateIndexProv.
Alaska306
211
Idaho152
491
Washington142
708
Mississippi138
608
Montana136
80

Lowest states

StateIndexProv.
Indiana80
698
South Dakota82
147
Florida82
758
Minnesota84
774
North Dakota85
211

Frequently asked questions

Does Aetna pay more or less than the other payers in Kansas?

Aetna ranks 4th of 4 in Kansas with an index of 85. It is highest on 4% of codes.

Are Aetna's Kansas rates above or below its national level?

About 2% below.

Which procedure does Aetna pay most above market in Kansas?

CPT 93298 (Rem interrog dev eval scrms), at 228% 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.

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