Aetna · Connecticut · commercial in-network

Aetna negotiated rates in Connecticut

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

Aetna in Connecticut at a glance

Across 228 procedure codes for 8 specialties
Rate index vs state market
79
21% below the Connecticut median
Rank in state
4 of 4
UHC 127 · Cigna 107 · BCBS 100 · Aetna 79
vs own national
116
Aetna's level vs its national median
Codes where highest
0%
of 228 codes
754 sampled providers522 TINs228 codesMedian 156% of Medicare · method

What the data shows

Generated from Connecticut and Aetna data only
1

Aetna ranks 4th of 4 payers in Connecticut with a rate index of 79 (100 = the Connecticut market median), across 228 procedure codes.

2

Aetna has the highest median for only 0% of codes in Connecticut; UnitedHealthcare leads with an index of 127 in the files analyzed.

3

Aetna's Connecticut rates sit 16% above its own national level, the 9th highest of its 51 states.

4

Largest premium over the Connecticut market: CPT 72141 (Mri neck spine w/o dye) at 122% of market; largest discount: CPT 99487 (Cplx chrnc care 1st 60 min) at 43%.

How the four payers compare in Connecticut

Rate index: 100 = the state four-payer median for the same codes
PayerIndexRankLevelHighest onProviders
UnitedHealthcare1271
127
69%804
Cigna1072
107
18%855
Blue Cross Blue Shield1003
100
12%887
Aetna794
79
0%754

Where Aetna pays most and least against the Connecticut market

Codes with the largest gap to the state median

Highest above market

CodeAetnaMarketGapProv.
72141
Mri neck spine w/o dye
$600$494+22%95
70551
Mri brain stem w/o dye
$600$508+18%94
88305
Tissue exam by pathologist
$107$97+10%185
77280
Ther rad simulaj field smpl
$387$357+9%48
51798
Us urine capacity measure
$23$23+0%33
76512
Oph us dx b-scan
$102$102+0%86
72148
Mri lumbar spine w/o dye
$600$600+0%164
73721
Mri jnt of lwr extre w/o dye
$600$600+0%163

Furthest below market

CodeAetnaMarketGapProv.
99487
Cplx chrnc care 1st 60 min
$62$146-57%35
43239
Egd biopsy single/multiple
$208$451-54%95
46221
Ligation of hemorrhoid(s)
$283$598-53%92
45380
Colonoscopy and biopsy
$301$623-52%95
45384
Colonoscopy w/lesion removal
$343$709-52%45
43235
Egd diagnostic brush wash
$185$370-50%95
45378
Diagnostic colonoscopy
$278$556-50%95
76872
Us transrectal
$113$222-49%84

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 Connecticut?

Aetna ranks 4th of 4 in Connecticut with an index of 79. It is highest on 0% of codes.

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

About 16% above.

Which procedure does Aetna pay most above market in Connecticut?

CPT 72141 (Mri neck spine w/o dye), at 122% of the Connecticut 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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