Blue Cross Blue Shield employer health plans in Utah
Who Blue Cross Blue Shield insures among Utah employers and what those plans pay in premium and broker compensation, and what the Blue Cross Blue Shield network pays hospitals.
Blue Cross Blue Shield employer health plans in Utah at a glance
What the data shows
Blue Cross Blue Shield insures 74 employer health plans in Utah (15% of 478 insured large plans), 4th of 8 carrier groups; UnitedHealthcare (101), Cigna (77) hold more.
Blue Cross Blue Shield has grown 14% in Utah since 2020, from 65 plans.
Most of these plans cover 100–499 people (44 plans); 2 cover 1,000 or more.
Median premium per person covered was $5,612, 7% above the Utah all-carrier median of $5,241. Benefit design and group mix differ, so this is not a price comparison.
81% of these plans reported broker or agent pay on their Blue Cross Blue Shield contracts; where paid, the median was 4.0% of premium (middle half 3.1%–5.3%).
At Utah hospitals, Blue Cross Blue Shield's commercial rates run higher than other carriers' at the same hospital for 6 of 17 services; a hip or knee replacement stay has a median rate of $26,167 across 12 hospitals.
Blue Cross Blue Shield plans in Utah, 2020–2024
| Form year | Plans | Persons covered | Share of state | Median premium / person |
|---|---|---|---|---|
| 2020 | 65 | 30,388 | 14% | $4,771 |
| 2021 | 54 | 26,149 | 12% | $4,961 |
| 2022 | 67 | 24,461 | 14% | $5,629 |
| 2023 | 70 | 19,636 | 15% | $5,674 |
| 2024 | 74 | 20,309 | 15% | $5,612 |
| 2025 (partial) | 55 | 15,533 | 14% | $5,661 |
Plan size
| Persons covered | Plans | Share |
|---|---|---|
| Under 100 | 19 | 26% |
| 100–499 | 44 | 59% |
| 500–999 | 9 | 12% |
| 1,000–4,999 | 2 | 3% |
| 5,000 or more | 0 | 0% |
Premiums and broker pay
| Measure | Blue Cross Blue Shield | All carriers, Utah |
|---|---|---|
| Median premium per person covered | $5,612 | $5,241 |
| Premium per person, middle half | $4,691–$7,746 | $3,536–$6,835 |
| Plans reporting broker or agent pay | 81% | 88% |
| Median broker pay, % of premium | 4.0% | 4.7% |
| Broker pay, middle half | 3.1%–5.3% | 3.2%–6.0% |
| Median broker pay per person covered | $245 | $221 |
Industries
Blue Cross Blue Shield's Utah employer clients are concentrated in professional and technical services (11 plans) and wholesale trade (7), followed by health care and social assistance (7).
| Industry | Plans | Share |
|---|---|---|
| Professional and technical services | 11 | 15% |
| Wholesale trade | 7 | 9% |
| Health care and social assistance | 7 | 9% |
| Manufacturing | 7 | 9% |
| Construction | 6 | 8% |
| Information | 5 | 7% |
Blue Cross Blue Shield employer clients in Utah
74 employers in Utah have a Blue Cross Blue Shield major-medical contract, 2 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 Blue Cross Blue Shield Prospect List for Utah →
What the Blue Cross Blue Shield network pays hospitals in Utah
Blue Cross Blue Shield commercial rates are on record at 16 Utah hospitals (the hospitals covered so far, not every hospital). Compared at the same hospitals, Blue Cross Blue Shield's rate is higher than the other carriers' median for 6 of 17 services and lower for 8. For Emergency visit, level 4, the rate runs from $422 to $1,172 across 11 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) | 12 | $26,167 | $21,216–$30,623 | About the same | – |
| C-section delivery (hospital stay) | 12 | Locked | Locked | About the same | Locked |
| Vaginal delivery (hospital stay) | 12 | Locked | Locked | Higher | Locked |
| MRI, lower back | 11 | $474 | $233–$585 | Lower | $4,169 |
| MRI, knee | 11 | Locked | Locked | Lower | Locked |
| CT, head | 11 | Locked | Locked | Lower | Locked |
| CT, abdomen and pelvis | 11 | Locked | Locked | Higher | Locked |
| Screening mammogram | 11 | Locked | Locked | Higher | Locked |
| Colonoscopy, diagnostic | 11 | Locked | Locked | Lower | Locked |
| Upper GI endoscopy with biopsy | 11 | Locked | Locked | Lower | Locked |
| Knee arthroscopy | 11 | Locked | Locked | About the same | Locked |
| Cataract surgery | 11 | Locked | Locked | Lower | Locked |
| Gallbladder removal, laparoscopic | 11 | Locked | Locked | Higher | Locked |
| Knee replacement, outpatient | 11 | Locked | Locked | Lower | Locked |
| Emergency visit, level 4 | 11 | $946 | $422–$1,172 | Lower | $3,503 |
| Comprehensive metabolic panel | 11 | Locked | Locked | Higher | Locked |
| Complete blood count | 11 | Locked | Locked | Higher | Locked |
Hospitals with the most published Blue Cross Blue Shield rates
| Hospital | Joint replacement | MRI lower back | CT abdomen | Colonoscopy | ER level 4 | Vaginal delivery |
|---|---|---|---|---|---|---|
| Brigham City Community Hospital | $21,550 | Locked | Locked | Locked | Locked | Locked |
| Cache Valley Hospital | $26,445 | Locked | Locked | Locked | Locked | Locked |
| Commonspirit - Holy Cross Hospital - Davis | $30,499 | Locked | Locked | Locked | Locked | Locked |
| Commonspirit - Holy Cross Hospital - Salt Lake | $30,499 | Locked | Locked | Locked | Locked | Locked |
| Commonspirit Holy Cross Hospital - Jordan Valley | $30,499 | Locked | Locked | Locked | Locked | Locked |
| Lakeview Hospital | $26,167 | Locked | Locked | Locked | Locked | Locked |
| Lone Peak Hospital | $21,216 | Locked | Locked | Locked | Locked | Locked |
| Mountain View Hospital Payson | $24,903 | Locked | Locked | Locked | Locked | Locked |
| St. Marks Hospital | $30,623 | Locked | Locked | Locked | Locked | Locked |
| Timpanogos Regional Hospital | $21,216 | Locked | Locked | Locked | Locked | Locked |
How the contracts are written: case rates 17%, fee schedules 62%, per diem 0%, percent of billed charges 20%, other 0% of Blue Cross Blue Shield's published commercial rates for these services in Utah.
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 Utah
| Carrier | Plans | Share | Median premium / person | Median broker % |
|---|---|---|---|---|
| Other insurers (regional and local plans) | 224 | 47% | $5,146 | 4.1% |
| UnitedHealthcare | 101 | 21% | $5,232 | 4.9% |
| Cigna | 77 | 16% | $2,210 | 9.9% |
| Blue Cross Blue Shield | 74 | 15% | $5,612 | 4.0% |
| Kaiser Permanente | 49 | 10% | $7,530 | 3.7% |
| Aetna | 24 | 5% | $5,907 | 2.9% |
| Anthem (Elevance Health) | 4 | 1% | $5,877 | 4.9% |
| Humana | 1 | 0% | – | – |
Blue Cross Blue Shield in other states
FAQ
How many Utah employers have Blue Cross Blue Shield health insurance?
74 employer health plans in Utah reported a Blue Cross Blue Shield major-medical contract in their 2024 filings, covering 20,309 persons. Self-funded plans that Blue Cross Blue Shield only administers are not counted.
What is Blue Cross Blue Shield's share of the Utah insured employer market?
15% of insured large employer health plans, 4th of 8 carrier groups by plan count.
How much do brokers earn on Blue Cross Blue Shield plans in Utah?
Where broker or agent pay was reported, the median was 4.0% of premium (4.7% across all carriers in Utah).
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 74 Utah employer health plans with a Blue Cross Blue Shield major-medical contract in their 2024 filings. Self-funded plans that Blue Cross Blue Shield only administers are not counted here.
- Premium and broker figures: 62 contracts with 20+ persons covered and a reported premium; broker percentages use the 59 contracts that reported broker or agent pay.
- Hospital prices: Blue Cross Blue Shield commercial rates at Utah hospitals; stay and facility prices only.
- Full method and limits: how the employer health plan data is built.