Aetna Better Health
What does Aetna Better Health actually pay hospitals? We analyzed 1,000 negotiated rates from 10 hospitals across 5 states.
$213
Avg Negotiated Rate
1,000
Total Rates
72
Procedures Covered
10
Hospitals in Network
5
States
Is Aetna Better Health Expensive or Cheap?
Avg Rate
$213
Range: $7 - $490
vs All Payers Average
-98%
All-payer avg: $10,146
vs Medicare
0x Medicare
Medicare avg: $15,331
Based on our analysis of 1,000 negotiated rates, Aetna Better Health is significantly cheaper than average compared to other insurance companies in our database. They pay roughly the same or less than Medicare for equivalent services.
Top Procedures with Negotiated Rates
Procedures where Aetna Better Health has the most rate data
| Code | Description | Rates | Avg Rate | Min | Max |
|---|---|---|---|---|---|
| 85025 | Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count | 53 | $69 | $7 | $227 |
| 97530 | Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes | 48 | $148 | $31 | $215 |
| 97110 | Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility | 45 | $135 | $26 | $248 |
| 97112 | Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing act | 45 | $143 | $30 | $213 |
| 73562 | Radiologic examination, knee; 3 views | 45 | $243 | $44 | $350 |
| 71046 | Radiologic examination, chest; 2 views | 41 | $207 | $36 | $481 |
| 73060 | HC XR HUMERUS MIN 2 VIEWS | 39 | $222 | $79 | $473 |
| 72100 | Radiologic examination, spine, lumbosacral; 2 or 3 views | 36 | $221 | $43 | $311 |
| 72110 | Radiologic examination, spine, lumbosacral; minimum of 4 views | 34 | $303 | $56 | $415 |
| 97161 | PT-EVALUATION LOW 20MIN | 33 | $331 | $62 | $454 |
| 73030 | HC RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS | 33 | $215 | $79 | $388 |
| 97140 | Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes | 32 | $127 | $25 | $226 |
| 36415 | VENIPUNCTURE | 27 | $30 | $9 | $67 |
| 97162 | PT EVAL: MODERATE COMPLEXITY | 24 | $292 | $64 | $420 |
| 99281 | Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional | 24 | $267 | $77 | $454 |
| 97163 | Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination | 23 | $323 | $89 | $467 |
| 71045 | Radiologic examination, chest; single view | 21 | $243 | $28 | $471 |
| 99203 | OP VISIT LEVEL 3 NP | 20 | $256 | $27 | $426 |
| 99214 | OP VISIT LEVEL 4 EST | 20 | $212 | $31 | $386 |
| 12031 | INTMD RPR S/A/T/EXT 2.5 CM/< | 19 | $287 | $89 | $490 |
| 99213 | OP VISIT LEVEL 3 EST | 17 | $131 | $21 | $194 |
| 80053 | HC LAB COMP METABOLIC PANEL | 15 | $105 | $11 | $433 |
| 99282 | Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making | 13 | $213 | $77 | $408 |
| 73590 | Radiologic examination; tibia and fibula, 2 views | 12 | $138 | $34 | $258 |
| 12001 | HC REPAIR SIMSCLP 2.5CM/< | 11 | $251 | $106 | $432 |
Hospitals with Aetna Better Health Rates
Hospitals where we have negotiated rate data for Aetna Better Health
| Hospital | State | Rates | Procedures | Avg Rate | Range |
|---|---|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | KY | 168 | 67 | $214 | $8 - $490 |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER | TX | 167 | 36 | $205 | $7 - $423 |
| HCA HOUSTON HEALTHCARE TOMBALL | TX | 157 | 42 | $215 | $7 - $430 |
| CHI Memorial Hospital - Georgia | GA | 138 | 57 | $251 | $8 - $454 |
| St. Luke's Sugar Land Hospital | TX | 93 | 50 | $230 | $8 - $455 |
| CHI St. Luke's Health Brazosport | TX | 84 | 51 | $198 | $9 - $471 |
| HCA HOUSTON HEALTHCARE CLEAR LAKE | TX | 83 | 30 | $208 | $9 - $430 |
| HCA HEALTHONE AURORA | CO | 48 | 15 | $55 | $8 - $358 |
| CHI Memorial Hospital - Chattanooga | TN | 40 | 21 | $297 | $42 - $481 |
| HCA HEALTHONE PRESBYTERIAN ST LUKES | CO | 22 | 15 | $187 | $8 - $393 |
About This Data
These rates are from hospital Machine-Readable Files (MRFs) required by the CMS Hospital Price Transparency Rule. They reflect specific hospital-payer contracts and may not represent your actual cost, which depends on your specific plan, deductible, copay, coinsurance, and network status. Data sources include CommonSpirit Health, HCA Healthcare, and Kaiser Permanente filings.