Aetna employer health plans in District of Columbia
Who Aetna insures among District of Columbia employers and what those plans pay in premium and broker compensation, and what the Aetna network pays physicians.
Aetna employer health plans in District of Columbia at a glance
What the data shows
Aetna insures 27 employer health plans in District of Columbia (7% of 385 insured large plans), 6th of 6 carrier groups; Cigna (129), Blue Cross Blue Shield (112) hold more.
Aetna has grown 4% in District of Columbia since 2020, from 26 plans.
Most of these plans cover 100–499 people (10 plans); 7 cover 1,000 or more.
Median premium per person covered was $7,440, 10% below the District of Columbia all-carrier median of $8,309. Benefit design and group mix differ, so this is not a price comparison.
59% of these plans reported broker or agent pay on their Aetna contracts; where paid, the median was 4.4% of premium (middle half 0.6%–7.1%).
In Aetna commercial, 23 of the 50 Employer 50 services have a District of Columbia benchmark, at a median of 109% of Medicare across those services.
Aetna plans in District of Columbia, 2020–2024
| Form year | Plans | Persons covered | Share of state | Median premium / person |
|---|---|---|---|---|
| 2020 | 26 | 11,801 | 8% | $6,134 |
| 2021 | 25 | 16,279 | 7% | $6,180 |
| 2022 | 21 | 15,009 | 6% | $6,549 |
| 2023 | 27 | 18,052 | 7% | $6,893 |
| 2024 | 27 | 17,222 | 7% | $7,440 |
| 2025 (partial) | 18 | 15,173 | 7% | $5,860 |
Plan size
| Persons covered | Plans | Share |
|---|---|---|
| Under 100 | 8 | 30% |
| 100–499 | 10 | 37% |
| 500–999 | 2 | 7% |
| 1,000–4,999 | 7 | 26% |
| 5,000 or more | 0 | 0% |
Premiums and broker pay
| Measure | Aetna | All carriers, District of Columbia |
|---|---|---|
| Median premium per person covered | $7,440 | $8,309 |
| Premium per person, middle half | $4,580–$10,612 | $5,778–$11,551 |
| Plans reporting broker or agent pay | 59% | 80% |
| Median broker pay, % of premium | 4.4% | 4.5% |
| Broker pay, middle half | 0.6%–7.1% | 3.0%–5.8% |
| Median broker pay per person covered | $134 | $344 |
Industries
Aetna's District of Columbia employer clients are concentrated in other services (7 plans) and professional and technical services (5), followed by manufacturing (4).
| Industry | Plans | Share |
|---|---|---|
| Other services | 7 | 26% |
| Professional and technical services | 5 | 19% |
| Manufacturing | 4 | 15% |
| Health care and social assistance | 3 | 11% |
| Information | 2 | 7% |
| Transportation and warehousing | 2 | 7% |
Aetna employer clients in District of Columbia
26 employers in District of Columbia have a Aetna major-medical contract, 7 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 |
Brokers: request the Aetna Prospect List for District of Columbia →
What the Aetna network pays physicians in District of Columbia
| Service | Code | Median | Middle half | % of Medicare | Other networks, median | Provider groups |
|---|---|---|---|---|---|---|
| Diagnostic heart catheterization with coronary angiography | 93458 | $318 | $271–$532 | 111% | $507 | 29 |
| Echocardiogram, transthoracic complete with Doppler | 93306 | $214 | $196–$365 | 109% | $329 | 29 |
| Electrocardiogram (EKG), complete | 93000 | $16 | $14–$26 | 104% | $26 | 30 |
| Nuclear stress test (SPECT myocardial perfusion) | 78452 | $463 | $425–$746 | 108% | $632 | 29 |
| Treadmill stress test, complete | 93015 | $75 | $69–$132 | 103% | $119 | 25 |
| Cataract removal with lens implant | 66984 | $687 | $687–$899 | 148% | $654 | 31 |
| Abdominal ultrasound, complete | 76700 | $38 | $33–$56 | 101% | $55 | 115 |
| Bone density scan (DXA), axial | 77080 | $44 | $36–$73 | 112% | $66 | 117 |
| CT abdomen and pelvis with contrast | 74177 | $365 | $312–$491 | 122% | $465 | 107 |
| CT chest without contrast | 71250 | $62 | $49–$83 | 126% | $74 | 111 |
| Chest X-ray, 2 views | 71046 | $10 | $9–$13 | 102% | $15 | 120 |
| MRI brain without and with contrast | 70553 | $425 | $400–$590 | 134% | $563 | 109 |
| MRI cervical spine without contrast | 72141 | $400 | $340–$475 | 210% | $339 | 109 |
| MRI knee (lower-extremity joint) without contrast | 73721 | $397 | $345–$475 | 194% | $340 | 114 |
| MRI lumbar spine without contrast | 72148 | $400 | $323–$475 | 209% | $339 | 109 |
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.
Carriers in District of Columbia
| Carrier | Plans | Share | Median premium / person | Median broker % |
|---|---|---|---|---|
| Cigna | 129 | 34% | $10,794 | 4.6% |
| Blue Cross Blue Shield | 112 | 29% | $8,416 | 4.8% |
| Kaiser Permanente | 80 | 21% | $8,286 | 3.5% |
| UnitedHealthcare | 69 | 18% | $6,501 | 4.0% |
| Other insurers (regional and local plans) | 49 | 13% | $8,784 | 4.9% |
| Aetna | 27 | 7% | $7,440 | 4.4% |
Aetna in other states
FAQ
How many District of Columbia employers have Aetna health insurance?
27 employer health plans in District of Columbia reported a Aetna major-medical contract in their 2024 filings, covering 17,222 persons. Self-funded plans that Aetna only administers are not counted.
What is Aetna's share of the District of Columbia insured employer market?
7% of insured large employer health plans, 6th of 6 carrier groups by plan count.
How much do brokers earn on Aetna plans in District of Columbia?
Where broker or agent pay was reported, the median was 4.4% of premium (4.5% across all carriers in District of Columbia).
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 27 District of Columbia 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: 24 contracts with 20+ persons covered and a reported premium; broker percentages use the 16 contracts that reported broker or agent pay.
- Network rates: Aetna commercial, professional fees only, from a sample of providers.
- Full method and limits: how the employer health plan data is built.