Anthem (Elevance Health) employer health plans in Texas
Who Anthem (Elevance Health) insures among Texas 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 Texas at a glance
What the data shows
Anthem (Elevance Health) insures 33 employer health plans in Texas (1% of 3,599 insured large plans), 7th of 8 carrier groups; Blue Cross Blue Shield (1,804), UnitedHealthcare (734) hold more.
Anthem (Elevance Health) has grown 14% in Texas since 2020, from 29 plans.
Most of these plans cover 100–499 people (16 plans); 6 cover 1,000 or more.
Median premium per person covered was $6,897, 17% above the Texas all-carrier median of $5,901. 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 4.8% of premium (middle half 3.0%–5.7%).
At Texas hospitals, Anthem (Elevance Health)'s commercial rates run higher than other carriers' at the same hospital for 0 of 0 services.
Anthem (Elevance Health) plans in Texas, 2020–2024
| Form year | Plans | Persons covered | Share of state | Median premium / person |
|---|---|---|---|---|
| 2020 | 29 | 14,777 | 1% | $6,555 |
| 2021 | 27 | 15,477 | 1% | $5,461 |
| 2022 | 28 | 24,916 | 1% | $6,958 |
| 2023 | 22 | 22,249 | 1% | $7,279 |
| 2024 | 33 | 27,270 | 1% | $6,897 |
| 2025 (partial) | 22 | 17,624 | 1% | $6,919 |
Plan size
| Persons covered | Plans | Share |
|---|---|---|
| Under 100 | 4 | 12% |
| 100–499 | 16 | 48% |
| 500–999 | 7 | 21% |
| 1,000–4,999 | 5 | 15% |
| 5,000 or more | 1 | 3% |
Premiums and broker pay
| Measure | Anthem (Elevance Health) | All carriers, Texas |
|---|---|---|
| Median premium per person covered | $6,897 | $5,901 |
| Premium per person, middle half | $5,935–$9,173 | $4,055–$7,555 |
| Plans reporting broker or agent pay | 88% | 85% |
| Median broker pay, % of premium | 4.8% | 4.8% |
| Broker pay, middle half | 3.0%–5.7% | 3.4%–6.0% |
| Median broker pay per person covered | $322 | $258 |
Industries
Anthem (Elevance Health)'s Texas employer clients are concentrated in health care and social assistance (10 plans) and administrative and support services (6), followed by professional and technical services (3).
| Industry | Plans | Share |
|---|---|---|
| Health care and social assistance | 10 | 30% |
| Administrative and support services | 6 | 18% |
| Professional and technical services | 3 | 9% |
| Manufacturing | 3 | 9% |
| Retail trade | 3 | 9% |
| Other services | 2 | 6% |
Anthem (Elevance Health) employer clients in Texas
25 employers in Texas have a Anthem (Elevance Health) major-medical contract, 6 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 Texas →
What the Anthem (Elevance Health) network pays hospitals in Texas
Anthem (Elevance Health) commercial rates are on record at 24 Texas 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 0 of 0 services and lower for 0. For MRI, lower back, the rate runs from $171 to $318 across 5 hospitals.
This page shows 1 of the 8 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 |
|---|---|---|---|---|---|
| MRI, lower back | 5 | $199 | $171–$318 | – | – |
| MRI, knee | 5 | Locked | Locked | – | Locked |
| CT, head | 6 | Locked | Locked | – | Locked |
| CT, abdomen and pelvis | 6 | Locked | Locked | – | Locked |
| Colonoscopy, diagnostic | 5 | Locked | Locked | – | Locked |
| Upper GI endoscopy with biopsy | 5 | Locked | Locked | – | Locked |
| Comprehensive metabolic panel | 6 | Locked | Locked | – | Locked |
| Complete blood count | 6 | Locked | Locked | – | Locked |
Hospitals with the most published Anthem (Elevance Health) rates
| Hospital | Joint replacement | MRI lower back | CT abdomen | Colonoscopy | ER level 4 | Vaginal delivery |
|---|---|---|---|---|---|---|
| Pam Health Rehabilitation Hospital Of Corpus Christi | – | Locked | Locked | Locked | Locked | Locked |
| Pam Health Rehabilitation Hospital Of Sugar Land | – | Locked | Locked | Locked | Locked | Locked |
| Pam Rehabilitation Hospital Of Beaumont | – | Locked | Locked | Locked | Locked | Locked |
| Pam Rehabilitation Hospital Of Clear Lake | – | Locked | Locked | Locked | Locked | Locked |
| Parkview Hospital | – | Locked | Locked | Locked | Locked | Locked |
| Tops Surgical Specialty Hospital | – | Locked | Locked | Locked | Locked | Locked |
| University Hospital | $44,555 | Locked | Locked | Locked | Locked | Locked |
| Ut Health Tyler Hospital | – | Locked | Locked | Locked | Locked | Locked |
How the contracts are written: case rates 3%, fee schedules 13%, per diem 0%, percent of billed charges 72%, other 11% of Anthem (Elevance Health)'s published commercial rates for these services in Texas.
Employers: see all 8 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 Texas
| Carrier | Plans | Share | Median premium / person | Median broker % |
|---|---|---|---|---|
| Blue Cross Blue Shield | 1,804 | 50% | $6,240 | 4.3% |
| UnitedHealthcare | 734 | 20% | $5,375 | 5.1% |
| Cigna | 654 | 18% | $2,700 | 7.7% |
| Other insurers (regional and local plans) | 350 | 10% | $3,674 | 6.0% |
| Kaiser Permanente | 271 | 8% | $9,124 | 3.9% |
| Aetna | 190 | 5% | $6,075 | 3.9% |
| Anthem (Elevance Health) | 33 | 1% | $6,897 | 4.8% |
| Humana | 11 | 0% | $3,665 | 5.3% |
Anthem (Elevance Health) in other states
FAQ
How many Texas employers have Anthem (Elevance Health) health insurance?
33 employer health plans in Texas reported a Anthem (Elevance Health) major-medical contract in their 2024 filings, covering 27,270 persons. Self-funded plans that Anthem (Elevance Health) only administers are not counted.
What is Anthem (Elevance Health)'s share of the Texas insured employer market?
1% of insured large employer health plans, 7th of 8 carrier groups by plan count.
How much do brokers earn on Anthem (Elevance Health) plans in Texas?
Where broker or agent pay was reported, the median was 4.8% of premium (4.8% across all carriers in Texas).
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 33 Texas 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: 32 contracts with 20+ persons covered and a reported premium; broker percentages use the 29 contracts that reported broker or agent pay.
- Hospital prices: Anthem (Elevance Health) commercial rates at Texas hospitals; stay and facility prices only.
- Full method and limits: how the employer health plan data is built.