Aetna employer health plans in Maryland
Who Aetna insures among Maryland employers and what those plans pay in premium and broker compensation, and what the Aetna network pays physicians.
Aetna employer health plans in Maryland at a glance
What the data shows
Aetna insures 50 employer health plans in Maryland (6% of 798 insured large plans), 6th of 8 carrier groups; Blue Cross Blue Shield (250), Cigna (219) hold more.
Aetna has shrunk 11% in Maryland since 2020, from 56 plans, as insured plans moved carrier or to self-funding.
Most of these plans cover 100–499 people (30 plans); 3 cover 1,000 or more.
Median premium per person covered was $6,987, 0% above the Maryland all-carrier median of $6,987. Benefit design and group mix differ, so this is not a price comparison.
74% of these plans reported broker or agent pay on their Aetna contracts; where paid, the median was 4.2% of premium (middle half 1.2%–7.3%).
In Aetna commercial, 28 of the 50 Employer 50 services have a Maryland benchmark, at a median of 111% of Medicare across those services.
Aetna plans in Maryland, 2020–2024
| Form year | Plans | Persons covered | Share of state | Median premium / person |
|---|---|---|---|---|
| 2020 | 56 | 18,914 | 7% | $6,280 |
| 2021 | 52 | 20,975 | 7% | $6,024 |
| 2022 | 52 | 21,434 | 7% | $6,398 |
| 2023 | 78 | 26,253 | 10% | $6,607 |
| 2024 | 50 | 16,854 | 6% | $6,987 |
| 2025 (partial) | 27 | 10,785 | 6% | $9,017 |
Plan size
| Persons covered | Plans | Share |
|---|---|---|
| Under 100 | 10 | 20% |
| 100–499 | 30 | 60% |
| 500–999 | 7 | 14% |
| 1,000–4,999 | 3 | 6% |
| 5,000 or more | 0 | 0% |
Premiums and broker pay
| Measure | Aetna | All carriers, Maryland |
|---|---|---|
| Median premium per person covered | $6,987 | $6,987 |
| Premium per person, middle half | $5,042–$8,601 | $4,341–$10,001 |
| Plans reporting broker or agent pay | 74% | 83% |
| Median broker pay, % of premium | 4.2% | 5.0% |
| Broker pay, middle half | 1.2%–7.3% | 3.6%–6.8% |
| Median broker pay per person covered | $120 | $331 |
Industries
Aetna's Maryland employer clients are concentrated in professional and technical services (13 plans) and manufacturing (9), followed by construction (6).
| Industry | Plans | Share |
|---|---|---|
| Professional and technical services | 13 | 26% |
| Manufacturing | 9 | 18% |
| Construction | 6 | 12% |
| Finance and insurance | 5 | 10% |
| Health care and social assistance | 5 | 10% |
| Retail trade | 3 | 6% |
Aetna employer clients in Maryland
48 employers in Maryland have a Aetna major-medical contract, 3 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 Maryland
| Service | Code | Median | Middle half | % of Medicare | Other networks, median | Provider groups |
|---|---|---|---|---|---|---|
| Diagnostic heart catheterization with coronary angiography | 93458 | $271 | $267–$361 | 94% | $498 | 66 |
| Echocardiogram, transthoracic complete with Doppler | 93306 | $196 | $183–$287 | 100% | $297 | 67 |
| Electrocardiogram (EKG), complete | 93000 | $14 | $13–$23 | 92% | $23 | 69 |
| Nuclear stress test (SPECT myocardial perfusion) | 78452 | $67 | $64–$93 | 90% | $91 | 67 |
| Treadmill stress test, complete | 93015 | $69 | $65–$99 | 94% | $110 | 66 |
| Cataract removal with lens implant | 66984 | $667 | $647–$690 | 144% | $589 | 80 |
| Abdominal ultrasound, complete | 76700 | $133 | $112–$177 | 116% | $212 | 122 |
| Bone density scan (DXA), axial | 77080 | $46 | $37–$75 | 116% | $78 | 117 |
| CT abdomen and pelvis with contrast | 74177 | $362 | $307–$515 | 121% | $580 | 115 |
| CT chest without contrast | 71250 | $204 | $144–$265 | 154% | $298 | 116 |
| Chest X-ray, 2 views | 71046 | $11 | $9–$15 | 110% | $18 | 120 |
| MRI brain without and with contrast | 70553 | $501 | $411–$635 | 158% | $751 | 118 |
| MRI cervical spine without contrast | 72141 | $421 | $314–$526 | 221% | $457 | 114 |
| MRI knee (lower-extremity joint) without contrast | 73721 | $425 | $332–$542 | 208% | $479 | 116 |
| MRI lumbar spine without contrast | 72148 | $419 | $312–$527 | 218% | $454 | 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.
Carriers in Maryland
| Carrier | Plans | Share | Median premium / person | Median broker % |
|---|---|---|---|---|
| Blue Cross Blue Shield | 250 | 31% | $7,806 | 5.2% |
| Cigna | 219 | 27% | $6,991 | 5.1% |
| UnitedHealthcare | 171 | 21% | $6,169 | 4.5% |
| Kaiser Permanente | 120 | 15% | $8,023 | 5.0% |
| Other insurers (regional and local plans) | 115 | 14% | $2,622 | 6.4% |
| Aetna | 50 | 6% | $6,987 | 4.2% |
| Anthem (Elevance Health) | 8 | 1% | $7,135 | 2.3% |
| Humana | 7 | 1% | $465 | 7.3% |
Aetna in other states
FAQ
How many Maryland employers have Aetna health insurance?
50 employer health plans in Maryland reported a Aetna major-medical contract in their 2024 filings, covering 16,854 persons. Self-funded plans that Aetna only administers are not counted.
What is Aetna's share of the Maryland insured employer market?
6% of insured large employer health plans, 6th of 8 carrier groups by plan count.
How much do brokers earn on Aetna plans in Maryland?
Where broker or agent pay was reported, the median was 4.2% of premium (5.0% across all carriers in Maryland).
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 50 Maryland 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: 44 contracts with 20+ persons covered and a reported premium; broker percentages use the 37 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.