Anthem (Elevance Health) employer health plans in Wisconsin
Who Anthem (Elevance Health) insures among Wisconsin 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 Wisconsin at a glance
What the data shows
Anthem (Elevance Health) insures 69 employer health plans in Wisconsin (9% of 743 insured large plans), 4th of 8 carrier groups; UnitedHealthcare (234), Blue Cross Blue Shield (131) hold more.
The Anthem (Elevance Health) book in Wisconsin has held steady since 2020 (71 plans then).
Most of these plans cover 100–499 people (38 plans); 4 cover 1,000 or more.
Median premium per person covered was $7,802, 18% above the Wisconsin all-carrier median of $6,598. Benefit design and group mix differ, so this is not a price comparison.
65% of these plans reported broker or agent pay on their Anthem (Elevance Health) contracts; where paid, the median was 2.5% of premium (middle half 2.0%–3.9%).
At Wisconsin 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 $34,733 across 29 hospitals.
Anthem (Elevance Health) plans in Wisconsin, 2020–2024
| Form year | Plans | Persons covered | Share of state | Median premium / person |
|---|---|---|---|---|
| 2020 | 71 | 37,951 | 9% | $6,826 |
| 2021 | 69 | 17,426 | 9% | $7,492 |
| 2022 | 70 | 15,818 | 9% | $6,195 |
| 2023 | 71 | 15,383 | 9% | $7,387 |
| 2024 | 69 | 22,194 | 9% | $7,802 |
| 2025 (partial) | 51 | 15,281 | 9% | $8,732 |
Plan size
| Persons covered | Plans | Share |
|---|---|---|
| Under 100 | 23 | 33% |
| 100–499 | 38 | 55% |
| 500–999 | 3 | 4% |
| 1,000–4,999 | 4 | 6% |
| 5,000 or more | 0 | 0% |
Premiums and broker pay
| Measure | Anthem (Elevance Health) | All carriers, Wisconsin |
|---|---|---|
| Median premium per person covered | $7,802 | $6,598 |
| Premium per person, middle half | $4,838–$9,622 | $4,949–$8,656 |
| Plans reporting broker or agent pay | 65% | 81% |
| Median broker pay, % of premium | 2.5% | 2.5% |
| Broker pay, middle half | 2.0%–3.9% | 1.7%–3.9% |
| Median broker pay per person covered | $198 | $160 |
Industries
Anthem (Elevance Health)'s Wisconsin employer clients are concentrated in manufacturing (19 plans) and finance and insurance (11), followed by health care and social assistance (5).
| Industry | Plans | Share |
|---|---|---|
| Manufacturing | 19 | 28% |
| Finance and insurance | 11 | 16% |
| Health care and social assistance | 5 | 7% |
| Professional and technical services | 5 | 7% |
| Construction | 4 | 6% |
| Wholesale trade | 4 | 6% |
Anthem (Elevance Health) employer clients in Wisconsin
63 employers in Wisconsin have a Anthem (Elevance Health) major-medical contract, 4 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 Wisconsin →
What the Anthem (Elevance Health) network pays hospitals in Wisconsin
Anthem (Elevance Health) commercial rates are on record at 52 Wisconsin 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 11. For Emergency visit, level 4, the rate runs from $401 to $5,302 across 34 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) | 29 | $34,733 | $18,855–$50,005 | Higher | – |
| C-section delivery (hospital stay) | 41 | Locked | Locked | About the same | Locked |
| Vaginal delivery (hospital stay) | 40 | Locked | Locked | Lower | Locked |
| MRI, lower back | 26 | $755 | $240–$2,430 | Lower | $2,110 |
| MRI, knee | 27 | Locked | Locked | Lower | Locked |
| CT, head | 29 | Locked | Locked | Lower | Locked |
| CT, abdomen and pelvis | 27 | Locked | Locked | Lower | Locked |
| Screening mammogram | 25 | Locked | Locked | About the same | Locked |
| Colonoscopy, diagnostic | 31 | Locked | Locked | Lower | Locked |
| Upper GI endoscopy with biopsy | 31 | Locked | Locked | Lower | Locked |
| Knee arthroscopy | 30 | Locked | Locked | Lower | Locked |
| Cataract surgery | 31 | Locked | Locked | Higher | Locked |
| Gallbladder removal, laparoscopic | 28 | Locked | Locked | Lower | Locked |
| Knee replacement, outpatient | 30 | Locked | Locked | Higher | Locked |
| Emergency visit, level 4 | 34 | $2,693 | $401–$5,302 | Higher | $525 |
| Comprehensive metabolic panel | 30 | Locked | Locked | Lower | Locked |
| Complete blood count | 30 | 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 |
|---|---|---|---|---|---|---|
| Aspirus Divine Savior Hospital | $40,192 | Locked | Locked | Locked | Locked | Locked |
| Aspirus Rhinelander Hospital | $40,192 | Locked | Locked | Locked | Locked | Locked |
| Aurora Baycare Medical Center | $34,733 | Locked | Locked | Locked | Locked | Locked |
| Aurora Lakeland Medical Center | $30,713 | Locked | Locked | Locked | Locked | Locked |
| Aurora Medical Center Bay Area | $22,309 | Locked | Locked | Locked | Locked | Locked |
| Aurora Medical Center Burlington | $30,713 | Locked | Locked | Locked | Locked | Locked |
| Aurora Medical Center Grafton | $34,733 | Locked | Locked | Locked | Locked | Locked |
| Aurora Medical Center Kenosha | $30,713 | Locked | Locked | Locked | Locked | Locked |
| Aurora Medical Center Manitowoc County | $30,713 | Locked | Locked | Locked | Locked | Locked |
| Aurora Medical Center Oshkosh | $34,733 | Locked | Locked | Locked | Locked | Locked |
How the contracts are written: case rates 24%, fee schedules 24%, per diem 1%, percent of billed charges 13%, other 38% of Anthem (Elevance Health)'s published commercial rates for these services in Wisconsin.
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 Wisconsin
| Carrier | Plans | Share | Median premium / person | Median broker % |
|---|---|---|---|---|
| Other insurers (regional and local plans) | 368 | 50% | $6,823 | 2.1% |
| UnitedHealthcare | 234 | 31% | $6,123 | 3.1% |
| Blue Cross Blue Shield | 131 | 18% | $6,698 | 3.0% |
| Anthem (Elevance Health) | 69 | 9% | $7,802 | 2.5% |
| Kaiser Permanente | 34 | 5% | $7,767 | 3.7% |
| Cigna | 24 | 3% | $6,510 | 7.3% |
| Aetna | 10 | 1% | $3,144 | 5.7% |
| Humana | 6 | 1% | $2,383 | 4.2% |
Anthem (Elevance Health) in other states
FAQ
How many Wisconsin employers have Anthem (Elevance Health) health insurance?
69 employer health plans in Wisconsin reported a Anthem (Elevance Health) major-medical contract in their 2024 filings, covering 22,194 persons. Self-funded plans that Anthem (Elevance Health) only administers are not counted.
What is Anthem (Elevance Health)'s share of the Wisconsin insured employer market?
9% 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 Wisconsin?
Where broker or agent pay was reported, the median was 2.5% of premium (2.5% across all carriers in Wisconsin).
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 69 Wisconsin 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: 60 contracts with 20+ persons covered and a reported premium; broker percentages use the 45 contracts that reported broker or agent pay.
- Hospital prices: Anthem (Elevance Health) commercial rates at Wisconsin hospitals; stay and facility prices only.
- Full method and limits: how the employer health plan data is built.