Aetna negotiated rates in Kentucky
How Aetna's Kentucky rates compare with the other three national payers, across the procedures that matter most to high-revenue specialties.
Aetna in Kentucky at a glance
What the data shows
Aetna ranks 4th of 4 payers in Kentucky with a rate index of 82 (100 = the Kentucky market median), across 228 procedure codes.
Aetna has the highest median for only 2% of codes in Kentucky; UnitedHealthcare leads with an index of 114 in the files analyzed.
Aetna's Kentucky rates sit 11% below its own national level, the 42nd highest of its 51 states.
Largest premium over the Kentucky market: CPT 93298 (Rem interrog dev eval scrms) at 233% of market; largest discount: CPT 51720 (Treatment of bladder lesion) at 47%.
How the four payers compare in Kentucky
| Payer | Index | Rank | Level | Highest on | Providers |
|---|---|---|---|---|---|
| UnitedHealthcare | 114 | 1 | 53% | 820 | |
| Cigna | 111 | 2 | 43% | 848 | |
| Blue Cross Blue Shield | 89 | 3 | 3% | 935 | |
| Aetna | 82 | 4 | 2% | 681 |
Where Aetna pays most and least against the Kentucky market
Highest above market
| Code | Aetna | Market | Gap | Prov. |
|---|---|---|---|---|
| 93298 Rem interrog dev eval scrms | $113 | $49 | +133% | 79 |
| 88313 Special stains group 2 | $94 | $61 | +54% | 39 |
| 93297 Rem interrog dev eval icpms | $69 | $48 | +42% | 68 |
| 43274 Ercp duct stent placement | $801 | $689 | +16% | 69 |
| 92242 Fluorescein&icg angiography | $290 | $252 | +15% | 68 |
| 71271 Ct thorax lung cancer scr c- | $170 | $158 | +7% | 87 |
| 73502 X-ray exam hip uni 2-3 views | $52 | $49 | +6% | 163 |
| 88312 Special stains group 1 | $87 | $83 | +6% | 129 |
Furthest below market
| Code | Aetna | Market | Gap | Prov. |
|---|---|---|---|---|
| 51720 Treatment of bladder lesion | $55 | $118 | -53% | 44 |
| 64566 Neuroeltrd stim post tibial | $29 | $57 | -49% | 22 |
| 51700 Irrigation of bladder | $40 | $79 | -49% | 62 |
| 52648 Laser surgery of prostate | $783 | $1,443 | -46% | 29 |
| 99454 Rem mntr physiol param 16-30 | $35 | $65 | -45% | 90 |
| 52224 Cystoscopy and treatment | $255 | $447 | -43% | 44 |
| 99457 Rpm tx mgmt 1st 20 min | $26 | $45 | -43% | 90 |
| 55866 Laps surg prst8ect rpbic rad | $1,278 | $2,182 | -41% | 45 |
Where Aetna pays above and below its national level
Highest states
| State | Index | Prov. | |
|---|---|---|---|
| Alaska | 306 | 211 | |
| Idaho | 152 | 491 | |
| Washington | 142 | 708 | |
| Mississippi | 138 | 608 | |
| Montana | 136 | 80 |
Lowest states
| State | Index | Prov. | |
|---|---|---|---|
| Indiana | 80 | 698 | |
| South Dakota | 82 | 147 | |
| Florida | 82 | 758 | |
| Minnesota | 84 | 774 | |
| North Dakota | 85 | 211 |
Frequently asked questions
Does Aetna pay more or less than the other payers in Kentucky?
Aetna ranks 4th of 4 in Kentucky with an index of 82. It is highest on 2% of codes.
Are Aetna's Kentucky rates above or below its national level?
About 11% below.
Which procedure does Aetna pay most above market in Kentucky?
CPT 93298 (Rem interrog dev eval scrms), at 233% of the Kentucky median.
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.
Is your Aetna contract at market in Kentucky?
Compare your negotiated rates for these codes with Kentucky medians for each payer.