Aetna negotiated rates in Maryland
How Aetna's Maryland rates compare with the other three national payers, across the procedures that matter most to high-revenue specialties.
Aetna in Maryland at a glance
What the data shows
Aetna ranks 3rd of 4 payers in Maryland with a rate index of 101 (100 = the Maryland market median), across 228 procedure codes.
Aetna has the highest median for only 24% of codes in Maryland; UnitedHealthcare leads with an index of 131 in the files analyzed.
Aetna's Maryland rates sit 6% above its own national level, the 14th highest of its 51 states.
Largest premium over the Maryland market: CPT 33361 (Replace aortic valve perq) at 187% of market; largest discount: CPT 93297 (Rem interrog dev eval icpms) at 42%.
How the four payers compare in Maryland
| Payer | Index | Rank | Level | Highest on | Providers |
|---|---|---|---|---|---|
| UnitedHealthcare | 131 | 1 | 63% | 606 | |
| Cigna | 110 | 2 | 13% | 723 | |
| Aetna | 101 | 3 | 24% | 645 | |
| Blue Cross Blue Shield | 74 | 4 | 0% | 758 |
Where Aetna pays most and least against the Maryland market
Highest above market
| Code | Aetna | Market | Gap | Prov. |
|---|---|---|---|---|
| 33361 Replace aortic valve perq | $2,930 | $1,568 | +87% | 87 |
| 93280 Pm device progr eval dual | $148 | $83 | +77% | 90 |
| 33208 Insrt heart pm atrial & vent | $1,272 | $738 | +72% | 88 |
| 76857 Us exam pelvic limited | $85 | $51 | +67% | 38 |
| 93308 Tte f-up or lmtd | $184 | $114 | +62% | 92 |
| 93016 Cv stress test supvj only | $38 | $24 | +57% | 88 |
| 93312 Echo transesophageal | $438 | $284 | +54% | 91 |
| 51729 Cystometrogram w/vp&up | $859 | $568 | +51% | 38 |
Furthest below market
| Code | Aetna | Market | Gap | Prov. |
|---|---|---|---|---|
| 93297 Rem interrog dev eval icpms | $24 | $56 | -58% | 65 |
| 99426 Prin care mgmt staff 1st 30 | $48 | $76 | -38% | 17 |
| 51702 Insert temp bladder cath | $30 | $44 | -32% | 49 |
| 99457 Rpm tx mgmt 1st 20 min | $28 | $41 | -31% | 96 |
| 99487 Cplx chrnc care 1st 60 min | $82 | $106 | -22% | 34 |
| 92012 Intrm oph exam est patient | $47 | $60 | -22% | 89 |
| 43264 Ercp remove duct calculi | $442 | $545 | -19% | 73 |
| 64566 Neuroeltrd stim post tibial | $53 | $64 | -18% | 34 |
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 Maryland?
Aetna ranks 3rd of 4 in Maryland with an index of 101. It is highest on 24% of codes.
Are Aetna's Maryland rates above or below its national level?
About 6% above.
Which procedure does Aetna pay most above market in Maryland?
CPT 33361 (Replace aortic valve perq), at 187% of the Maryland 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 Maryland?
Compare your negotiated rates for these codes with Maryland medians for each payer.