Aetna employer health plans in Georgia
Who Aetna insures among Georgia 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 Georgia at a glance
What the data shows
Aetna insures 116 employer health plans in Georgia (10% of 1,160 insured large plans), 6th of 8 carrier groups; Cigna (425), Blue Cross Blue Shield (254) hold more.
The Aetna book in Georgia has held steady since 2020 (114 plans then).
Most of these plans cover 100–499 people (58 plans); 18 cover 1,000 or more.
Median premium per person covered was $5,943, 3% above the Georgia all-carrier median of $5,782. Benefit design and group mix differ, so this is not a price comparison.
70% of these plans reported broker or agent pay on their Aetna contracts; where paid, the median was 1.9% of premium (middle half 0.6%–5.7%).
In Aetna commercial, 29 of the 50 Employer 50 services have a Georgia benchmark, at a median of 110% of Medicare across those services.
At Georgia hospitals, Aetna's commercial rates run higher than other carriers' at the same hospital for 9 of 17 services; a hip or knee replacement stay has a median rate of $37,677 across 20 hospitals.
Aetna plans in Georgia, 2020–2024
| Form year | Plans | Persons covered | Share of state | Median premium / person |
|---|---|---|---|---|
| 2020 | 114 | 108,443 | 9% | $4,745 |
| 2021 | 106 | 51,201 | 8% | $5,316 |
| 2022 | 130 | 125,505 | 11% | $5,306 |
| 2023 | 157 | 164,404 | 13% | $5,654 |
| 2024 | 116 | 213,810 | 10% | $5,943 |
| 2025 (partial) | 62 | 71,070 | 8% | $6,006 |
Plan size
| Persons covered | Plans | Share |
|---|---|---|
| Under 100 | 26 | 22% |
| 100–499 | 58 | 50% |
| 500–999 | 14 | 12% |
| 1,000–4,999 | 10 | 9% |
| 5,000 or more | 8 | 7% |
Premiums and broker pay
| Measure | Aetna | All carriers, Georgia |
|---|---|---|
| Median premium per person covered | $5,943 | $5,782 |
| Premium per person, middle half | $2,825–$7,523 | $2,168–$8,464 |
| Plans reporting broker or agent pay | 70% | 81% |
| Median broker pay, % of premium | 1.9% | 5.3% |
| Broker pay, middle half | 0.6%–5.7% | 3.7%–9.2% |
| Median broker pay per person covered | $74 | $303 |
Industries
Aetna's Georgia employer clients are concentrated in manufacturing (20 plans) and health care and social assistance (16), followed by professional and technical services (13).
| Industry | Plans | Share |
|---|---|---|
| Manufacturing | 20 | 17% |
| Health care and social assistance | 16 | 14% |
| Professional and technical services | 13 | 11% |
| Retail trade | 11 | 9% |
| Administrative and support services | 9 | 8% |
| Wholesale trade | 9 | 8% |
Aetna employer clients in Georgia
110 employers in Georgia have a Aetna major-medical contract, 18 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 Georgia
| Service | Code | Median | Middle half | % of Medicare | Other networks, median | Provider groups |
|---|---|---|---|---|---|---|
| Diagnostic heart catheterization with coronary angiography | 93458 | $338 | $299–$565 | 118% | $667 | 77 |
| Echocardiogram, transthoracic complete with Doppler | 93306 | $229 | $196–$392 | 116% | $443 | 81 |
| Electrocardiogram (EKG), complete | 93000 | $18 | $14–$33 | 115% | $34 | 87 |
| Nuclear stress test (SPECT myocardial perfusion) | 78452 | $430 | $408–$736 | 100% | $793 | 79 |
| Treadmill stress test, complete | 93015 | $95 | $69–$176 | 130% | $178 | 76 |
| Cataract removal with lens implant | 66984 | $855 | $654–$1,045 | 185% | $884 | 76 |
| Abdominal ultrasound, complete | 76700 | $43 | $34–$71 | 114% | $76 | 116 |
| Bone density scan (DXA), axial | 77080 | $11 | $8–$19 | 115% | $18 | 111 |
| CT abdomen and pelvis with contrast | 74177 | $325 | $275–$536 | 108% | $657 | 117 |
| CT chest without contrast | 71250 | $275 | $249–$370 | 207% | $341 | 118 |
| Chest X-ray, 2 views | 71046 | $11 | $9–$20 | 110% | $20 | 116 |
| MRI brain without and with contrast | 70553 | $475 | $425–$776 | 150% | $862 | 115 |
| MRI cervical spine without contrast | 72141 | $425 | $398–$588 | 223% | $518 | 115 |
| MRI knee (lower-extremity joint) without contrast | 73721 | $425 | $417–$575 | 208% | $542 | 117 |
| MRI lumbar spine without contrast | 72148 | $425 | $400–$581 | 222% | $527 | 116 |
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 Georgia
Aetna commercial rates are on record at 31 Georgia 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 9 of 17 services and lower for 4. For MRI, lower back, the rate runs from $264 to $1,687 across 21 hospitals.
This page shows 3 of the 17 services in full. The other rates, the size of each gap and every hospital's prices are in the Plan Cost Benchmark.
| Service | Hospitals | Median rate | Range (P10–P90) | vs other carriers, same hospitals | Cash price, median |
|---|---|---|---|---|---|
| Hip or knee replacement (hospital stay) | 20 | $37,677 | $22,679–$52,268 | About the same | – |
| C-section delivery (hospital stay) | 19 | Locked | Locked | Higher | Locked |
| Vaginal delivery (hospital stay) | 20 | Locked | Locked | About the same | Locked |
| MRI, lower back | 21 | $965 | $264–$1,687 | Higher | $2,102 |
| MRI, knee | 21 | Locked | Locked | Higher | Locked |
| CT, head | 21 | Locked | Locked | Higher | Locked |
| CT, abdomen and pelvis | 19 | Locked | Locked | Higher | Locked |
| Screening mammogram | 18 | Locked | Locked | Higher | Locked |
| Colonoscopy, diagnostic | 20 | Locked | Locked | Higher | Locked |
| Upper GI endoscopy with biopsy | 20 | Locked | Locked | Higher | Locked |
| Knee arthroscopy | 19 | Locked | Locked | Lower | Locked |
| Cataract surgery | 19 | Locked | Locked | Higher | Locked |
| Gallbladder removal, laparoscopic | 20 | Locked | Locked | Lower | Locked |
| Knee replacement, outpatient | 19 | Locked | Locked | Lower | Locked |
| Emergency visit, level 4 | 11 | $565 | $159–$901 | Lower | $1,791 |
| Comprehensive metabolic panel | 21 | Locked | Locked | About the same | Locked |
| Complete blood count | 21 | Locked | Locked | About the same | Locked |
Hospitals with the most published Aetna rates
| Hospital | Joint replacement | MRI lower back | CT abdomen | Colonoscopy | ER level 4 | Vaginal delivery |
|---|---|---|---|---|---|---|
| Atrium Health Navicent The Medical Center | $22,679 | Locked | Locked | Locked | Locked | Locked |
| Doctors Hospital Of Augusta | $39,561 | Locked | Locked | Locked | Locked | Locked |
| Emory Decatur Hospital | $36,030 | Locked | Locked | Locked | Locked | Locked |
| Emory Johns Creek Hospital | $36,030 | Locked | Locked | Locked | Locked | Locked |
| Emory Saint Joseph's Hospital | $36,030 | Locked | Locked | Locked | Locked | Locked |
| Emory University Hospital Midtown | $36,030 | Locked | Locked | Locked | Locked | Locked |
| Fairview Park Hospital | $37,677 | Locked | Locked | Locked | Locked | Locked |
| Memorial Health Meadows Hospital | $45,617 | Locked | Locked | Locked | Locked | Locked |
| Memorial Health University Medical Center | $37,677 | Locked | Locked | Locked | Locked | Locked |
| Memorial Satilla Health | $37,677 | Locked | Locked | Locked | Locked | Locked |
How the contracts are written: case rates 35%, fee schedules 37%, per diem 2%, percent of billed charges 22%, other 3% of Aetna's published commercial rates for these services in Georgia.
Employers: see all 17 services and every hospital 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 Georgia
| Carrier | Plans | Share | Median premium / person | Median broker % |
|---|---|---|---|---|
| Cigna | 425 | 37% | $3,974 | 7.1% |
| Blue Cross Blue Shield | 254 | 22% | $6,477 | 4.5% |
| UnitedHealthcare | 209 | 18% | $5,782 | 5.4% |
| Other insurers (regional and local plans) | 169 | 15% | $2,801 | 6.6% |
| Kaiser Permanente | 140 | 12% | $7,879 | 4.5% |
| Aetna | 116 | 10% | $5,943 | 1.9% |
| Anthem (Elevance Health) | 25 | 2% | $3,617 | 5.2% |
| Humana | 6 | 1% | $1,848 | 6.8% |
Aetna in other states
FAQ
How many Georgia employers have Aetna health insurance?
116 employer health plans in Georgia reported a Aetna major-medical contract in their 2024 filings, covering 213,810 persons. Self-funded plans that Aetna only administers are not counted.
What is Aetna's share of the Georgia insured employer market?
10% of insured large employer health plans, 6th of 8 carrier groups by plan count.
How much do brokers earn on Aetna plans in Georgia?
Where broker or agent pay was reported, the median was 1.9% of premium (5.3% across all carriers in Georgia).
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 116 Georgia 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: 102 contracts with 20+ persons covered and a reported premium; broker percentages use the 81 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 Georgia hospitals; stay and facility prices only.
- Full method and limits: how the employer health plan data is built.