Aetna employer health plans in Arizona
Who Aetna insures among Arizona 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 Arizona at a glance
What the data shows
Aetna insures 73 employer health plans in Arizona (10% of 749 insured large plans), 5th of 8 carrier groups; Blue Cross Blue Shield (293), Cigna (194) hold more.
Aetna has grown 33% in Arizona since 2020, from 55 plans.
Most of these plans cover 100–499 people (52 plans); 4 cover 1,000 or more.
Median premium per person covered was $5,396, 6% above the Arizona all-carrier median of $5,111. 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 4.4% of premium (middle half 1.0%–5.7%).
In Aetna commercial, 28 of the 50 Employer 50 services have a Arizona benchmark, at a median of 107% of Medicare across those services.
At Arizona hospitals, Aetna's commercial rates run higher than other carriers' at the same hospital for 0 of 0 services.
Aetna plans in Arizona, 2020–2024
| Form year | Plans | Persons covered | Share of state | Median premium / person |
|---|---|---|---|---|
| 2020 | 55 | 24,959 | 8% | $4,642 |
| 2021 | 60 | 37,098 | 9% | $4,640 |
| 2022 | 74 | 41,535 | 11% | $5,117 |
| 2023 | 92 | 45,362 | 12% | $5,419 |
| 2024 | 73 | 39,276 | 10% | $5,396 |
| 2025 (partial) | 41 | 30,133 | 8% | $5,944 |
Plan size
| Persons covered | Plans | Share |
|---|---|---|
| Under 100 | 9 | 12% |
| 100–499 | 52 | 71% |
| 500–999 | 8 | 11% |
| 1,000–4,999 | 3 | 4% |
| 5,000 or more | 1 | 1% |
Premiums and broker pay
| Measure | Aetna | All carriers, Arizona |
|---|---|---|
| Median premium per person covered | $5,396 | $5,111 |
| Premium per person, middle half | $3,763–$6,465 | $2,858–$6,918 |
| Plans reporting broker or agent pay | 82% | 83% |
| Median broker pay, % of premium | 4.4% | 5.1% |
| Broker pay, middle half | 1.0%–5.7% | 4.0%–7.0% |
| Median broker pay per person covered | $190 | $255 |
Industries
Aetna's Arizona employer clients are concentrated in health care and social assistance (17 plans) and manufacturing (13), followed by construction (7).
| Industry | Plans | Share |
|---|---|---|
| Health care and social assistance | 17 | 23% |
| Manufacturing | 13 | 18% |
| Construction | 7 | 10% |
| Professional and technical services | 6 | 8% |
| Retail trade | 6 | 8% |
| Administrative and support services | 4 | 5% |
Aetna employer clients in Arizona
70 employers in Arizona have a Aetna major-medical contract, 4 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 Arizona
| Service | Code | Median | Middle half | % of Medicare | Other networks, median | Provider groups |
|---|---|---|---|---|---|---|
| Diagnostic heart catheterization with coronary angiography | 93458 | $266 | $266–$305 | 92% | $351 | 121 |
| Echocardiogram, transthoracic complete with Doppler | 93306 | $63 | $63–$73 | 94% | $75 | 125 |
| Electrocardiogram (EKG), complete | 93000 | $14 | $13–$20 | 90% | $17 | 125 |
| Nuclear stress test (SPECT myocardial perfusion) | 78452 | $78 | $78–$82 | 105% | $78 | 123 |
| Treadmill stress test, complete | 93015 | $68 | $68–$94 | 93% | $80 | 120 |
| Cataract removal with lens implant | 66984 | $564 | $564–$582 | 122% | $562 | 72 |
| Abdominal ultrasound, complete | 76700 | $40 | $37–$49 | 106% | $49 | 211 |
| Bone density scan (DXA), axial | 77080 | $10 | $9–$12 | 104% | $12 | 201 |
| CT abdomen and pelvis with contrast | 74177 | $369 | $321–$425 | 123% | $430 | 213 |
| CT chest without contrast | 71250 | $62 | $54–$75 | 125% | $69 | 212 |
| Chest X-ray, 2 views | 71046 | $11 | $10–$13 | 108% | $13 | 212 |
| MRI brain without and with contrast | 70553 | $471 | $406–$560 | 149% | $629 | 208 |
| MRI cervical spine without contrast | 72141 | $375 | $327–$475 | 197% | $385 | 205 |
| MRI knee (lower-extremity joint) without contrast | 73721 | $375 | $351–$475 | 183% | $398 | 205 |
| MRI lumbar spine without contrast | 72148 | $375 | $325–$475 | 196% | $377 | 209 |
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 Arizona
Aetna commercial rates are on record at 13 Arizona 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 0 of 0 services and lower for 0. For MRI, lower back, the rate runs from $249 to $2,484 across 5 hospitals.
| Service | Hospitals | Median rate | Range (P10–P90) | vs other carriers, same hospitals | Cash price, median |
|---|---|---|---|---|---|
| MRI, lower back | 5 | $1,698 | $249–$2,484 | – | $1,478 |
Hospital-by-hospital Aetna rates for Arizona are in the Plan Cost Benchmark; this page shows them once 15 or more hospitals' files include them.
How the contracts are written: case rates 19%, fee schedules 28%, per diem 0%, percent of billed charges 38%, other 15% of Aetna's published commercial rates for these services in Arizona.
Employers: request hospital prices 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 Arizona
| Carrier | Plans | Share | Median premium / person | Median broker % |
|---|---|---|---|---|
| Blue Cross Blue Shield | 293 | 39% | $5,557 | 5.0% |
| Cigna | 194 | 26% | $2,634 | 8.0% |
| UnitedHealthcare | 154 | 21% | $4,911 | 5.3% |
| Kaiser Permanente | 75 | 10% | $9,007 | 4.1% |
| Aetna | 73 | 10% | $5,396 | 4.4% |
| Other insurers (regional and local plans) | 57 | 8% | $3,033 | 4.3% |
| Anthem (Elevance Health) | 8 | 1% | $5,860 | 4.4% |
| Humana | 1 | 0% | $4,272 | 2.3% |
Aetna in other states
FAQ
How many Arizona employers have Aetna health insurance?
73 employer health plans in Arizona reported a Aetna major-medical contract in their 2024 filings, covering 39,276 persons. Self-funded plans that Aetna only administers are not counted.
What is Aetna's share of the Arizona insured employer market?
10% of insured large employer health plans, 5th of 8 carrier groups by plan count.
How much do brokers earn on Aetna plans in Arizona?
Where broker or agent pay was reported, the median was 4.4% of premium (5.1% across all carriers in Arizona).
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 73 Arizona 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: 71 contracts with 20+ persons covered and a reported premium; broker percentages use the 60 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 Arizona hospitals; stay and facility prices only.
- Full method and limits: how the employer health plan data is built.