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
What the data shows
Aetna ranks 4th of 4 payers in Connecticut with a rate index of 79 (100 = the Connecticut market median), across 228 procedure codes.
Aetna has the highest median for only 0% of codes in Connecticut; UnitedHealthcare leads with an index of 127 in the files analyzed.
Aetna's Connecticut rates sit 16% above its own national level, the 9th highest of its 51 states.
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
| Payer | Index | Rank | Level | Highest on | Providers |
|---|---|---|---|---|---|
| UnitedHealthcare | 127 | 1 | 69% | 804 | |
| Cigna | 107 | 2 | 18% | 855 | |
| Blue Cross Blue Shield | 100 | 3 | 12% | 887 | |
| Aetna | 79 | 4 | 0% | 754 |
Where Aetna pays most and least against the Connecticut market
Highest above market
| Code | Aetna | Market | Gap | Prov. |
|---|---|---|---|---|
| 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
| Code | Aetna | Market | Gap | Prov. |
|---|---|---|---|---|
| 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
Highest states
| State | Index | Prov. | |
|---|---|---|---|
| Alaska | 306 | 211 | |
| Idaho | 152 | 491 | |
| Washington | 142 | 708 | |
| Mississippi | 138 | 608 | |
| Montana | 136 | 80 |
Lowest states
| State | Index | Prov. | |
|---|---|---|---|
| Indiana | 80 | 698 | |
| South Dakota | 82 | 147 | |
| Florida | 82 | 758 | |
| Minnesota | 84 | 774 | |
| North Dakota | 85 | 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
- 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.
Is your Aetna contract at market in Connecticut?
Compare your negotiated rates for these codes with Connecticut medians for each payer.