Aetna · Maryland · commercial in-network

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

Across 228 procedure codes for 8 specialties
Rate index vs state market
101
1% above the Maryland median
Rank in state
3 of 4
UHC 131 · Cigna 110 · Aetna 101 · BCBS 74
vs own national
106
Aetna's level vs its national median
Codes where highest
24%
of 228 codes
645 sampled providers548 TINs228 codesMedian 137% of Medicare · method

What the data shows

Generated from Maryland and Aetna data only
1

Aetna ranks 3rd of 4 payers in Maryland with a rate index of 101 (100 = the Maryland market median), across 228 procedure codes.

2

Aetna has the highest median for only 24% of codes in Maryland; UnitedHealthcare leads with an index of 131 in the files analyzed.

3

Aetna's Maryland rates sit 6% above its own national level, the 14th highest of its 51 states.

4

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

Rate index: 100 = the state four-payer median for the same codes
PayerIndexRankLevelHighest onProviders
UnitedHealthcare1311
131
63%606
Cigna1102
110
13%723
Aetna1013
101
24%645
Blue Cross Blue Shield744
74
0%758

Where Aetna pays most and least against the Maryland market

Codes with the largest gap to the state median

Highest above market

CodeAetnaMarketGapProv.
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

CodeAetnaMarketGapProv.
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

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 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

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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