What does Aetna pay for CPT 78815 in Kansas City, MO-KS?

The local peer median for CPT 78815 under Aetna in Kansas City, MO-KS is $1,200, based on 33 indexed providers. Modeled from published rates, not guaranteed.

What is the top of the local market (P90) for CPT 78815 under Aetna in Kansas City, MO-KS?

The P90, the top of the local market and Reddenda's target rate, is $1,300.

Reddenda · Rate Intelligence · Kansas City, MO-KS

78815 under Aetna in Kansas City, MO-KS

Name: Aetna rates for CPT 78815 in Kansas City, MO-KS
Creator: Reddenda

Local peer median $1,200 · High confidence

$1,200 local peer median. In the Kansas City, MO-KS market, Aetna pays a local peer median of $1,200 for CPT 78815, based on 33 providers in Reddenda's index of Aetna's own published in-network rates. The top of the local market, the P90 target, is $1,300, 8% above the median. A provider billed below the local median is being paid less than peers holding the identical Aetna contract in Kansas City, MO-KS for the identical code. Modeled from published rates, not guaranteed.

Local distribution · 33 providers · 33 rate records

P10

$166

P25

$166

Median

$1,200

P75

$1,300

P90 (target)

$1,300

P10$166

P25$166

Median (P50)$1,200

P75$1,300

P90 target$1,300

Peer basis: local peer distribution: same CPT, same payer file, same metro (CBSA) Benchmark: local peer median; never a national average Range: $146 – $1,414.81

The local peer median for CPT 78815 under Aetna in Kansas City, MO-KS is $1,200, drawn from 33 distinct providers.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Aetna to publish this rate
The bottom of the local market (P10) is $166 and the top (P90) is $1,300; the median-to-P90 spread is $100.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Aetna to publish this rate
The lowest published rate in this market is $146; the highest is $1,414.81.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Aetna to publish this rate
This benchmark is drawn from 33 individual rate records that Aetna itself published for this code in this metro.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Aetna to publish this rate
30.3% of indexed providers cluster at the single most common rate; the remainder shows a real, scoreable spread across the local market.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Aetna to publish this rate
A federal No Surprises Act arbitrator may weigh up to four plan years of a provider's own contracted rate history and local market share when resolving a payment dispute over this exact code and payer.Source: 45 CFR §149.510(c)(4)(iii)(B)

33 providers bill this code to this payer in this metro.

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Documented reimbursement opportunity, modeled from published rates and never a guaranteed outcome.

Modeled from Aetna's own published in-network rates, never guaranteed and never a national average. Peer basis: same CPT, same payer file, same metro (CBSA). Federal citation for the underlying obligation: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Aetna to publish this rate. Page generated 2026-08-26 07:13 UTC; the live index is queried in real time on every request.