Anthem (Elevance Health) employer health plans in Missouri
Who Anthem (Elevance Health) insures among Missouri employers and what those plans pay in premium and broker compensation, and what the Anthem (Elevance Health) network pays hospitals.
Anthem (Elevance Health) employer health plans in Missouri at a glance
What the data shows
Anthem (Elevance Health) insures 109 employer health plans in Missouri (17% of 626 insured large plans), 4th of 8 carrier groups; UnitedHealthcare (157), Blue Cross Blue Shield (145) hold more.
Anthem (Elevance Health) has shrunk 42% in Missouri since 2020, from 189 plans, as insured plans moved carrier or to self-funding.
Most of these plans cover 100–499 people (69 plans); 11 cover 1,000 or more.
Median premium per person covered was $6,692, 6% above the Missouri all-carrier median of $6,325. Benefit design and group mix differ, so this is not a price comparison.
88% of these plans reported broker or agent pay on their Anthem (Elevance Health) contracts; where paid, the median was 3.2% of premium (middle half 2.3%–4.1%).
At Missouri hospitals, Anthem (Elevance Health)'s commercial rates run higher than other carriers' at the same hospital for 1 of 17 services; a hip or knee replacement stay has a median rate of $11,891 across 6 hospitals.
Anthem (Elevance Health) plans in Missouri, 2020–2024
| Form year | Plans | Persons covered | Share of state | Median premium / person |
|---|---|---|---|---|
| 2020 | 189 | 67,053 | 26% | $5,983 |
| 2021 | 155 | 62,080 | 22% | $5,788 |
| 2022 | 135 | 51,195 | 19% | $5,937 |
| 2023 | 137 | 49,514 | 20% | $6,528 |
| 2024 | 109 | 42,789 | 17% | $6,692 |
| 2025 (partial) | 68 | 27,517 | 14% | $6,443 |
Plan size
| Persons covered | Plans | Share |
|---|---|---|
| Under 100 | 13 | 12% |
| 100–499 | 69 | 63% |
| 500–999 | 14 | 13% |
| 1,000–4,999 | 11 | 10% |
| 5,000 or more | 0 | 0% |
Premiums and broker pay
| Measure | Anthem (Elevance Health) | All carriers, Missouri |
|---|---|---|
| Median premium per person covered | $6,692 | $6,325 |
| Premium per person, middle half | $5,180–$9,145 | $4,007–$8,590 |
| Plans reporting broker or agent pay | 88% | 78% |
| Median broker pay, % of premium | 3.2% | 4.0% |
| Broker pay, middle half | 2.3%–4.1% | 2.8%–5.8% |
| Median broker pay per person covered | $224 | $234 |
Industries
Anthem (Elevance Health)'s Missouri employer clients are concentrated in health care and social assistance (22 plans) and manufacturing (16), followed by finance and insurance (11).
| Industry | Plans | Share |
|---|---|---|
| Health care and social assistance | 22 | 20% |
| Manufacturing | 16 | 15% |
| Finance and insurance | 11 | 10% |
| Professional and technical services | 10 | 9% |
| Construction | 9 | 8% |
| Wholesale trade | 8 | 7% |
Anthem (Elevance Health) employer clients in Missouri
109 employers in Missouri have a Anthem (Elevance Health) major-medical contract, 11 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 Anthem (Elevance Health) Prospect List for Missouri →
What the Anthem (Elevance Health) network pays hospitals in Missouri
Anthem (Elevance Health) commercial rates are on record at 21 Missouri hospitals (the hospitals covered so far, not every hospital). Compared at the same hospitals, Anthem (Elevance Health)'s rate is higher than the other carriers' median for 1 of 17 services and lower for 16. For Hip or knee replacement (hospital stay), the rate runs from $11,891 to $19,751 across 6 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) | 6 | $11,891 | $11,891–$19,751 | Lower | – |
| C-section delivery (hospital stay) | 7 | Locked | Locked | Lower | Locked |
| Vaginal delivery (hospital stay) | 7 | Locked | Locked | Lower | Locked |
| MRI, lower back | 5 | $136 | $136–$136 | Lower | $12,717 |
| MRI, knee | 5 | Locked | Locked | Lower | Locked |
| CT, head | 5 | Locked | Locked | Lower | Locked |
| CT, abdomen and pelvis | 5 | Locked | Locked | Lower | Locked |
| Screening mammogram | 5 | Locked | Locked | Lower | Locked |
| Colonoscopy, diagnostic | 5 | Locked | Locked | Lower | Locked |
| Upper GI endoscopy with biopsy | 5 | Locked | Locked | Lower | Locked |
| Knee arthroscopy | 6 | Locked | Locked | Lower | Locked |
| Cataract surgery | 6 | Locked | Locked | Lower | Locked |
| Gallbladder removal, laparoscopic | 7 | Locked | Locked | Lower | Locked |
| Knee replacement, outpatient | 6 | Locked | Locked | Lower | Locked |
| Emergency visit, level 4 | 5 | $109 | $109–$109 | Lower | $4,370 |
| Comprehensive metabolic panel | 5 | Locked | Locked | Higher | Locked |
| Complete blood count | 5 | Locked | Locked | Lower | Locked |
Hospitals with the most published Anthem (Elevance Health) rates
| Hospital | Joint replacement | MRI lower back | CT abdomen | Colonoscopy | ER level 4 | Vaginal delivery |
|---|---|---|---|---|---|---|
| Belton Regional Medical Center | $11,891 | Locked | Locked | Locked | Locked | Locked |
| Centerpoint Medical Center | $11,891 | Locked | Locked | Locked | Locked | Locked |
| Hannibal Regional Hospital | – | Locked | Locked | Locked | Locked | Locked |
| Lafayette Regional Health Center | $11,891 | Locked | Locked | Locked | Locked | Locked |
| Lee's Summit Medical Center | $11,891 | Locked | Locked | Locked | Locked | Locked |
| Research Medical Center | $11,891 | Locked | Locked | Locked | Locked | Locked |
| University Hospital | $19,751 | Locked | Locked | Locked | Locked | Locked |
How the contracts are written: case rates 3%, fee schedules 14%, per diem 0%, percent of billed charges 81%, other 2% of Anthem (Elevance Health)'s published commercial rates for these services in Missouri.
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 Missouri
| Carrier | Plans | Share | Median premium / person | Median broker % |
|---|---|---|---|---|
| UnitedHealthcare | 157 | 25% | $5,574 | 3.9% |
| Blue Cross Blue Shield | 145 | 23% | $7,522 | 4.0% |
| Cigna | 121 | 19% | $5,157 | 5.0% |
| Anthem (Elevance Health) | 109 | 17% | $6,692 | 3.2% |
| Other insurers (regional and local plans) | 72 | 12% | $5,490 | 9.4% |
| Aetna | 39 | 6% | $6,079 | 4.1% |
| Kaiser Permanente | 39 | 6% | $9,730 | 3.5% |
| Humana | 18 | 3% | $2,806 | 7.3% |
Anthem (Elevance Health) in other states
FAQ
How many Missouri employers have Anthem (Elevance Health) health insurance?
109 employer health plans in Missouri reported a Anthem (Elevance Health) major-medical contract in their 2024 filings, covering 42,789 persons. Self-funded plans that Anthem (Elevance Health) only administers are not counted.
What is Anthem (Elevance Health)'s share of the Missouri insured employer market?
17% of insured large employer health plans, 4th of 8 carrier groups by plan count.
How much do brokers earn on Anthem (Elevance Health) plans in Missouri?
Where broker or agent pay was reported, the median was 3.2% of premium (4.0% across all carriers in Missouri).
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 109 Missouri employer health plans with a Anthem (Elevance Health) major-medical contract in their 2024 filings. Self-funded plans that Anthem (Elevance Health) only administers are not counted here.
- Premium and broker figures: 103 contracts with 20+ persons covered and a reported premium; broker percentages use the 93 contracts that reported broker or agent pay.
- Hospital prices: Anthem (Elevance Health) commercial rates at Missouri hospitals; stay and facility prices only.
- Full method and limits: how the employer health plan data is built.