Anthem (Elevance Health) employer health plans in New York
Who Anthem (Elevance Health) insures among New York 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 New York at a glance
What the data shows
Anthem (Elevance Health) insures 270 employer health plans in New York (10% of 2,760 insured large plans), 6th of 8 carrier groups; Cigna (799), Blue Cross Blue Shield (603) hold more.
Anthem (Elevance Health) has grown 11% in New York since 2020, from 244 plans.
Most of these plans cover 100–499 people (170 plans); 32 cover 1,000 or more.
Median premium per person covered was $8,845, 2% below the New York all-carrier median of $9,072. Benefit design and group mix differ, so this is not a price comparison.
86% of these plans reported broker or agent pay on their Anthem (Elevance Health) contracts; where paid, the median was 4.0% of premium (middle half 2.9%–5.2%).
At New York hospitals, Anthem (Elevance Health)'s commercial rates run higher than other carriers' at the same hospital for 4 of 17 services; a hip or knee replacement stay has a median rate of $33,901 across 7 hospitals.
Anthem (Elevance Health) plans in New York, 2020–2024
| Form year | Plans | Persons covered | Share of state | Median premium / person |
|---|---|---|---|---|
| 2020 | 244 | 854,690 | 9% | $7,612 |
| 2021 | 292 | 165,713 | 11% | $8,187 |
| 2022 | 297 | 192,684 | 11% | $8,275 |
| 2023 | 326 | 195,864 | 11% | $8,505 |
| 2024 | 270 | 160,796 | 10% | $8,845 |
| 2025 (partial) | 181 | 105,668 | 9% | $8,991 |
Plan size
| Persons covered | Plans | Share |
|---|---|---|
| Under 100 | 28 | 10% |
| 100–499 | 170 | 63% |
| 500–999 | 38 | 14% |
| 1,000–4,999 | 30 | 11% |
| 5,000 or more | 2 | 1% |
Premiums and broker pay
| Measure | Anthem (Elevance Health) | All carriers, New York |
|---|---|---|
| Median premium per person covered | $8,845 | $9,072 |
| Premium per person, middle half | $6,535–$11,742 | $5,677–$12,803 |
| Plans reporting broker or agent pay | 86% | 79% |
| Median broker pay, % of premium | 4.0% | 4.1% |
| Broker pay, middle half | 2.9%–5.2% | 3.0%–5.4% |
| Median broker pay per person covered | $364 | $371 |
Industries
Anthem (Elevance Health)'s New York employer clients are concentrated in professional and technical services (64 plans) and health care and social assistance (32), followed by finance and insurance (25).
| Industry | Plans | Share |
|---|---|---|
| Professional and technical services | 64 | 24% |
| Health care and social assistance | 32 | 12% |
| Finance and insurance | 25 | 9% |
| Manufacturing | 25 | 9% |
| Other services | 21 | 8% |
| Educational services | 19 | 7% |
Anthem (Elevance Health) employer clients in New York
268 employers in New York have a Anthem (Elevance Health) major-medical contract, 32 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 New York →
What the Anthem (Elevance Health) network pays hospitals in New York
Anthem (Elevance Health) commercial rates are on record at 30 New York 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 4 of 17 services and lower for 13. For Emergency visit, level 4, the rate runs from $114 to $2,512 across 22 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) | 7 | $33,901 | $23,285–$59,443 | Higher | – |
| C-section delivery (hospital stay) | 7 | Locked | Locked | Lower | Locked |
| Vaginal delivery (hospital stay) | 5 | Locked | Locked | Higher | Locked |
| MRI, lower back | 18 | $419 | $103–$673 | Lower | $1,622 |
| MRI, knee | 19 | Locked | Locked | Lower | Locked |
| CT, head | 20 | Locked | Locked | Lower | Locked |
| CT, abdomen and pelvis | 21 | Locked | Locked | Lower | Locked |
| Screening mammogram | 19 | Locked | Locked | Lower | Locked |
| Colonoscopy, diagnostic | 25 | Locked | Locked | Lower | Locked |
| Upper GI endoscopy with biopsy | 24 | Locked | Locked | Lower | Locked |
| Knee arthroscopy | 22 | Locked | Locked | Lower | Locked |
| Cataract surgery | 21 | Locked | Locked | Lower | Locked |
| Gallbladder removal, laparoscopic | 24 | Locked | Locked | Lower | Locked |
| Knee replacement, outpatient | 21 | Locked | Locked | Lower | Locked |
| Emergency visit, level 4 | 22 | $1,656 | $114–$2,512 | Lower | $391 |
| Comprehensive metabolic panel | 17 | Locked | Locked | Higher | Locked |
| Complete blood count | 18 | Locked | Locked | Higher | Locked |
Hospitals with the most published Anthem (Elevance Health) rates
| Hospital | Joint replacement | MRI lower back | CT abdomen | Colonoscopy | ER level 4 | Vaginal delivery |
|---|---|---|---|---|---|---|
| Catholic Health St. Catherine Of Siena Hospital | $33,901 | Locked | Locked | Locked | Locked | Locked |
| Catholic Health St. Charles Hospital | $33,260 | Locked | Locked | Locked | Locked | Locked |
| Catholic Health St. Francis Hospital & Heart Center | $52,832 | Locked | Locked | Locked | Locked | Locked |
| Catholic Health St. Joseph Hospital | $35,436 | Locked | Locked | Locked | Locked | Locked |
| Jones Memorial Hospital | – | Locked | Locked | Locked | Locked | Locked |
| Maimonides Medical Center | $59,443 | Locked | Locked | Locked | Locked | Locked |
| Monroe Community Hospital | – | Locked | Locked | Locked | Locked | Locked |
| Montefiore Wakefield Campus | – | Locked | Locked | Locked | Locked | Locked |
| Montefiore Westchester Square Campus | – | Locked | Locked | Locked | Locked | Locked |
| Noyes Memorial Hospital | – | Locked | Locked | Locked | Locked | Locked |
How the contracts are written: case rates 42%, fee schedules 39%, per diem 0%, percent of billed charges 13%, other 5% of Anthem (Elevance Health)'s published commercial rates for these services in New York.
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 New York
| Carrier | Plans | Share | Median premium / person | Median broker % |
|---|---|---|---|---|
| Cigna | 799 | 29% | $8,959 | 5.4% |
| Blue Cross Blue Shield | 603 | 22% | $10,634 | 3.7% |
| UnitedHealthcare | 532 | 19% | $9,011 | 4.3% |
| Other insurers (regional and local plans) | 530 | 19% | $8,835 | 3.8% |
| Aetna | 348 | 13% | $8,436 | 4.2% |
| Anthem (Elevance Health) | 270 | 10% | $8,845 | 4.0% |
| Kaiser Permanente | 244 | 9% | $9,169 | 4.2% |
| Humana | 10 | 0% | $3,012 | 3.5% |
Anthem (Elevance Health) in other states
FAQ
How many New York employers have Anthem (Elevance Health) health insurance?
270 employer health plans in New York reported a Anthem (Elevance Health) major-medical contract in their 2024 filings, covering 160,796 persons. Self-funded plans that Anthem (Elevance Health) only administers are not counted.
What is Anthem (Elevance Health)'s share of the New York insured employer market?
10% of insured large employer health plans, 6th of 8 carrier groups by plan count.
How much do brokers earn on Anthem (Elevance Health) plans in New York?
Where broker or agent pay was reported, the median was 4.0% of premium (4.1% across all carriers in New York).
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 270 New York 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: 256 contracts with 20+ persons covered and a reported premium; broker percentages use the 226 contracts that reported broker or agent pay.
- Hospital prices: Anthem (Elevance Health) commercial rates at New York hospitals; stay and facility prices only.
- Full method and limits: how the employer health plan data is built.