Aetna · Alaska · commercial in-network

Aetna negotiated rates in Alaska

How Aetna's Alaska rates compare with the other three national payers, across the procedures that matter most to high-revenue specialties.

Aetna in Alaska at a glance

Across 109 procedure codes for 8 specialties
Rate index vs state market
121
21% above the Alaska median
Rank in state
1 of 4
Aetna 121 · UHC 114 · BCBS 100 · Cigna 64
vs own national
306
Aetna's level vs its national median
Codes where highest
58%
of 109 codes
211 sampled providers196 TINs109 codesMedian 350% of Medicare · method

What the data shows

Generated from Alaska and Aetna data only
1

Aetna ranks 1st of 4 payers in Alaska with a rate index of 121 (100 = the Alaska market median), across 109 procedure codes.

2

Aetna has the highest median for 58% of codes in Alaska.

3

Aetna's Alaska rates sit 206% above its own national level, the 1st highest of its 51 states.

4

Largest premium over the Alaska market: CPT 74176 (Ct abd & pelvis w/o contrast) at 170% of market; largest discount: CPT 99457 (Rpm tx mgmt 1st 20 min) at 62%.

How the four payers compare in Alaska

Rate index: 100 = the state four-payer median for the same codes
PayerIndexRankLevelHighest onProviders
Aetna1211
121
58%211
UnitedHealthcare1142
114
26%164
Blue Cross Blue Shield1003
100
21%290
Cigna644
64
0%57

Where Aetna pays most and least against the Alaska market

Codes with the largest gap to the state median

Highest above market

CodeAetnaMarketGapProv.
74176
Ct abd & pelvis w/o contrast
$848$499+70%44
70551
Mri brain stem w/o dye
$1,232$729+69%43
74183
Mri abd w/o cntr flwd cntr
$1,881$1,114+69%40
72158
Mri lumbar spine w/o & w/dye
$1,783$1,066+67%41
88305
Tissue exam by pathologist
$298$180+66%17
70553
Mri brain stem w/o & w/dye
$1,778$1,079+65%40
72141
Mri neck spine w/o dye
$1,067$655+63%41
73721
Mri jnt of lwr extre w/o dye
$1,262$776+63%62

Furthest below market

CodeAetnaMarketGapProv.
99457
Rpm tx mgmt 1st 20 min
$64$102-38%38
99349
Home/res vst est mod mdm 40
$210$311-32%28
99348
Home/res vst est low mdm 30
$127$187-32%23
99350
Home/res vst est high mdm 60
$308$453-32%18
99454
Rem mntr physiol param 16-30
$80$116-32%38
93306
Tte w/doppler complete
$438$598-27%39
99487
Cplx chrnc care 1st 60 min
$178$232-24%28
99497
Advncd care plan 30 min
$159$202-21%42

Where Aetna pays above and below its national level

Index vs the payer's own national median (100 = national)

Highest states

StateIndexProv.
Alaska306
211
Idaho152
491
Washington142
708
Mississippi138
608
Montana136
80

Lowest states

StateIndexProv.
Indiana80
698
South Dakota82
147
Florida82
758
Minnesota84
774
North Dakota85
211

Frequently asked questions

Does Aetna pay more or less than the other payers in Alaska?

Aetna ranks 1st of 4 in Alaska with an index of 121. It is highest on 58% of codes.

Are Aetna's Alaska rates above or below its national level?

About 206% above.

Which procedure does Aetna pay most above market in Alaska?

CPT 74176 (Ct abd & pelvis w/o contrast), at 170% of the Alaska median.

Methodology

How these numbers are calculated
  • Source: in-network negotiated-rate files published under the federal Transparency in Coverage rule, August 2026 snapshot: UnitedHealthcare Choice plans (74 files); Aetna commercial plans (70 files); Cigna national PPO (1 files); BCBS licensees' own-network files (5,387 files). Payer comparisons describe these files, not each payer's entire book of business.
  • Sample: rates come from a random sample of up to 150 providers per state and specialty. Counts on this page are sampled providers and TINs, not totals.
  • Which providers count: only providers in a specialty relevant to the code, because a rate in a payer file attaches to a provider group and is listed under every provider in that group.
  • Filters: fee-for-service, professional billing class, no modifier, negotiated or fee-schedule dollar rates. Rates outside 1% to 1,000% of the Medicare rate are excluded.
  • Statistic: one median rate per provider, then percentiles across providers. A cell is shown only with at least 15 sampled providers and 4 TINs.
  • Medicare benchmark: CY2026 national physician fee schedule, non-QPP conversion factor, unadjusted for locality. Where the non-facility rate is more than twice the facility rate (office rates that include device or supply cost), the facility rate is used so comparisons are like for like.

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