Ranking

Top payers by spend

Ranked by estimated total negotiated dollars (rate volume × median paid), descending. Figures cover shoppable procedures (DRGs) only.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Payer	Est. total $ (volume×median)	Median paid (shoppable)	p25	p75	Hospitals	Rate volume

UnitedHealthcare	$99,715,988,294	$15,355	$7,447	$32,414	2,294	6,494,146
Aetna	$71,663,115,433	$15,533	$7,790	$31,864	2,110	4,613,484
Cigna Healthcare	$62,550,766,814	$19,607	$10,661	$39,261	1,800	3,190,197
Blue Cross Blue Shield Association	$49,738,927,518	$18,759	$8,619	$44,226	715	2,651,439
Humana	$33,753,034,082	$13,420	$7,534	$23,948	1,770	2,515,058
Anthem (Elevance Health)	$30,678,337,119	$17,121	$8,531	$34,431	683	1,791,848
Molina Healthcare	$25,598,297,762	$13,139	$6,824	$25,637	991	1,948,298
Centene	$17,682,167,888	$16,325	$8,783	$31,472	802	1,083,133
WellCare Health Plans	$12,468,442,822	$13,592	$8,257	$23,879	882	917,347
Superior HealthPlan	$12,463,168,853	$15,128	$7,230	$29,465	204	823,866
MultiPlan	$10,502,524,573	$17,518	$7,340	$37,915	661	599,530
EmblemHealth	$10,245,880,445	$23,715	$10,635	$52,349	111	432,040
Kaiser Permanente	$10,201,805,071	$17,915	$10,158	$34,806	290	569,457
Health Net	$8,981,612,518	$17,346	$9,374	$34,891	245	517,805
Healthfirst	$7,731,940,218	$22,423	$10,110	$53,664	48	344,818
Devoted Health	$7,326,925,992	$13,864	$9,076	$22,492	506	528,480
Oscar Health	$7,228,846,151	$18,870	$11,671	$33,234	401	383,093
Horizon BCBS of NJ	$7,172,354,317	$24,621	$9,318	$52,202	72	291,316
Blue Shield of California	$6,939,417,675	$19,389	$10,715	$39,025	206	357,913
BCBS of Florida (Florida Blue)	$6,511,220,719	$18,836	$10,146	$38,954	66	345,675
Amerigroup	$6,508,814,774	$11,614	$6,200	$21,778	408	560,424
Highmark BCBS	$6,262,212,360	$19,048	$9,730	$39,235	116	328,755
CareSource	$5,749,714,961	$11,880	$6,292	$22,874	330	483,986
Medicare (Generic)	$5,105,722,105	$13,592	$8,474	$22,235	287	375,650
AFFINITY HEALTH PLAN	$4,976,552,311	$19,074	$9,168	$64,569	36	260,914
HealthPartners	$4,415,148,911	$16,024	$8,237	$31,911	166	275,536
TRICARE	$4,349,114,357	$13,182	$7,771	$22,829	329	329,917
AvMed	$4,314,801,889	$10,341	$2,755	$29,394	96	417,252
Medica	$4,161,127,753	$12,523	$5,678	$24,976	207	332,271
MVP Health Care	$3,971,648,413	$18,789	$8,750	$42,863	72	211,380
UPMC Health Plan	$3,951,475,934	$13,950	$8,944	$25,461	155	283,265
BCBS of Texas	$3,629,269,070	$15,178	$7,718	$29,544	112	239,113
HEALTHSMART BENEFIT SOLUTIONS	$3,272,775,953	$17,220	$5,231	$36,116	158	190,058
BCBS of Arizona	$3,203,832,242	$26,167	$12,956	$58,039	36	122,437
Simply Healthcare Plans	$3,123,525,510	$10,422	$5,640	$19,075	124	299,705
Regence BCBS	$3,116,022,294	$20,685	$10,833	$40,712	74	150,640
Sentara Health Plans	$3,070,749,710	$18,939	$9,753	$32,313	63	162,139
AmeriHealth Caritas	$3,062,396,969	$11,139	$6,073	$21,105	226	274,919
Medical Mutual of Ohio	$2,912,477,892	$17,446	$9,354	$34,129	110	166,939
BCBS of Tennessee	$2,799,498,804	$13,659	$5,730	$29,720	68	204,952
PHCS (Private Healthcare Systems)	$2,740,127,200	$12,400	$4,817	$31,290	306	220,978
Geisinger Health Plan	$2,730,049,541	$16,627	$8,584	$32,998	91	164,198
Sunshine Health	$2,712,481,784	$8,870	$3,270	$19,050	115	305,803
VA / CHAMPVA	$2,671,148,609	$12,813	$7,896	$22,443	268	208,472
First Health Network	$2,550,820,800	$17,600	$7,016	$41,028	335	144,933
AMERIHEALTH NEW JERSEY (NON-HMO)	$2,432,980,725	$14,000	$7,958	$27,734	138	173,779
Anthem BCBS of New York	$2,424,556,161	$25,479	$10,971	$50,164	38	95,159
United Behavioral Health (Optum)	$2,414,999,048	$13,702	$8,372	$24,305	139	176,249
BeechStreet Corporation	$2,385,188,969	$30,047	$10,978	$78,045	92	79,382
Bright Health	$2,316,977,230	$15,234	$9,321	$26,136	117	152,096
Provider Partners Health Plan (PPHP)	$2,267,607,098	$14,414	$9,133	$24,420	113	157,316
Harvard Pilgrim Health Care	$2,246,982,690	$24,296	$11,619	$48,538	67	92,483
Baylor Scott & White Health	$2,245,890,385	$14,750	$7,987	$28,729	53	152,262
Priority Health	$2,111,352,422	$12,522	$7,154	$23,332	94	168,611
EVOLUTIONS HEALTHCARE SYSTEMS	$2,097,821,558	$24,380	$14,745	$42,806	54	86,047
UMR (UnitedHealthcare TPA)	$2,062,497,912	$21,381	$11,271	$40,500	172	96,462
BCBS of North Carolina	$1,968,627,396	$21,977	$10,700	$43,143	40	89,575
Providence Health & Services	$1,921,419,753	$23,644	$12,667	$46,788	49	81,263
TEXAS CHILDREN'S HEALTH PLAN	$1,835,891,168	$10,988	$5,111	$27,213	57	167,082
CarePlus (Encounters)	$1,793,984,514	$12,396	$4,799	$21,874	101	144,727
Meridian Health Plan	$1,737,139,575	$11,184	$6,498	$19,728	149	155,321
BCBS of Minnesota	$1,715,925,290	$17,828	$8,012	$39,764	51	96,251
Excellus BCBS	$1,704,241,148	$15,187	$7,608	$31,888	39	112,214
SelectHealth	$1,696,041,791	$19,579	$10,211	$35,224	57	86,626
Buckeye Health Plan	$1,685,629,154	$11,383	$6,505	$21,527	102	148,087
CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP)	$1,683,253,079	$20,249	$9,364	$48,032	32	83,126
Visiting Nurse Service of New York	$1,588,332,111	$29,086	$15,865	$45,245	10	54,608
WellMed Medical Management (UHC subsidiary)	$1,583,866,439	$14,262	$9,443	$24,278	134	111,058
CORVEL	$1,545,759,262	$15,040	$7,852	$26,783	125	102,776
Premera BCBS	$1,541,417,957	$24,800	$12,320	$48,340	52	62,154
Healthcare Highways	$1,536,596,690	$14,790	$7,005	$26,601	99	103,893
Clover Health	$1,534,161,345	$15,178	$10,113	$25,139	122	101,076
PGBA TRIWEST VA CCN	$1,530,582,855	$12,926	$8,220	$21,858	145	118,412
BCBS of South Carolina	$1,522,605,059	$22,272	$10,161	$42,538	24	68,364
Centers for Medicare & Medicaid Services	$1,521,045,821	$13,481	$8,686	$24,026	46	112,833
BCBS of Illinois	$1,518,391,656	$15,579	$7,437	$30,234	84	97,464
Anthem Blue Cross CA	$1,442,963,570	$17,059	$9,354	$32,463	84	84,586
PacificSource	$1,441,407,380	$18,738	$10,415	$34,712	67	76,925
Medicaid (Generic)	$1,423,870,722	$9,412	$5,255	$18,842	130	151,282
Wellmark BCBS	$1,314,188,714	$16,088	$8,912	$32,768	67	81,685
Allwell (Centene Medicare Advantage)	$1,312,759,540	$12,303	$7,760	$19,954	106	106,703
Alignment Healthcare USA, LLC	$1,312,404,295	$16,292	$10,040	$28,099	90	80,554
FREEDOM HEALTH PLAN	$1,296,067,169	$12,455	$7,748	$20,034	86	104,064
Independence BCBS	$1,293,049,425	$17,972	$9,878	$32,754	48	71,950
WISCONSIN PHYSICIANS SERVICE (WPS) COMMERCIAL	$1,272,183,012	$32,344	$19,517	$51,723	22	39,333
1199 NATIONAL BENEFIT FUND	$1,244,268,546	$27,430	$16,791	$48,054	46	45,362
COMMUNITY HEALTH CHOICE - HEALTH INSURANCE MARKETPLACE	$1,242,414,212	$18,672	$10,138	$34,254	39	66,539
Sanford Health	$1,242,105,403	$17,277	$10,952	$29,558	43	71,892
Clear Spring Health	$1,237,802,363	$12,037	$4,682	$21,401	124	102,833
Tufts Health Plan	$1,235,954,495	$14,921	$7,746	$31,567	55	82,832
ProCare Advantage	$1,225,504,181	$12,288	$3,630	$23,927	89	99,730
Texas Independence Health Plan	$1,220,988,287	$16,852	$10,638	$30,254	54	72,454
Beacon Health Strategies	$1,218,567,232	$15,125	$7,881	$28,020	21	80,568
SCAN Group	$1,216,420,956	$15,718	$9,347	$27,390	82	77,388
EMPLOYER DIRECT HEALTHCARE	$1,203,818,903	$19,328	$12,914	$30,769	75	62,283
HAP (Health Alliance Plan)	$1,197,133,712	$14,236	$8,358	$25,335	58	84,092
Virginia Health Network	$1,177,154,156	$36,535	$21,228	$72,941	16	32,220
Highmark	$1,143,342,953	$15,173	$8,739	$27,688	64	75,355
Local Initiative Health Authority for LA County	$1,139,910,337	$15,679	$9,200	$27,687	39	72,703
HEALTHLINK PPO	$1,134,209,952	$17,119	$8,204	$32,592	78	66,253