<?xml version="1.0"?>
<ownershipDocument>

    <schemaVersion>X0202</schemaVersion>

    <documentType>4</documentType>

    <periodOfReport>2004-11-30</periodOfReport>

    <issuer>
        <issuerCik>0001122304</issuerCik>
        <issuerName>AETNA INC /PA/</issuerName>
        <issuerTradingSymbol>AET</issuerTradingSymbol>
    </issuer>

    <reportingOwner>
        <reportingOwnerId>
            <rptOwnerCik>0001182003</rptOwnerCik>
            <rptOwnerName>HACKMAN FRANKLIN BARBARA</rptOwnerName>
        </reportingOwnerId>
        <reportingOwnerAddress>
            <rptOwnerStreet1>THE WATERGATE OFFICE BUILDLING</rptOwnerStreet1>
            <rptOwnerStreet2>2600 VIRGINIA AVENUE, N.W. SUITE 50</rptOwnerStreet2>
            <rptOwnerCity>WASHINGTON</rptOwnerCity>
            <rptOwnerState>DC</rptOwnerState>
            <rptOwnerZipCode>20037</rptOwnerZipCode>
            <rptOwnerStateDescription></rptOwnerStateDescription>
        </reportingOwnerAddress>
        <reportingOwnerRelationship>
            <isDirector>1</isDirector>
            <isOfficer>0</isOfficer>
            <isTenPercentOwner>0</isTenPercentOwner>
            <isOther>0</isOther>
        </reportingOwnerRelationship>
    </reportingOwner>

    <nonDerivativeTable>
        <nonDerivativeHolding>
            <securityTitle>
                <value>Common Stock</value>
            </securityTitle>
            <postTransactionAmounts>
                <sharesOwnedFollowingTransaction>
                    <value>7553.456</value>
                    <footnoteId id="F1"/>
                </sharesOwnedFollowingTransaction>
            </postTransactionAmounts>
            <ownershipNature>
                <directOrIndirectOwnership>
                    <value>D</value>
                </directOrIndirectOwnership>
                <natureOfOwnership>
                    <value></value>
                </natureOfOwnership>
            </ownershipNature>
        </nonDerivativeHolding>
    </nonDerivativeTable>

    <footnotes>
        <footnote id="F1">INCLUDES 2.519 SHARES ACQUIRED ON NOVEMBER 30, 2004  PURSUANT TO DIVIDEND REINVESTMENT PROGRAM</footnote>
    </footnotes>

    <remarks></remarks>

    <ownerSignature>
        <signatureName>BARBARA HACKMAN FRANKLIN, BY PAIGE L. FALASCO, ATTORNEY IN FACT</signatureName>
        <signatureDate>2004-12-09</signatureDate>
    </ownerSignature>
</ownershipDocument>

