Cigna employer health plans in District of Columbia
Who Cigna insures among District of Columbia employers and what those plans pay in premium and broker compensation, and what the Cigna network pays physicians.
Cigna employer health plans in District of Columbia at a glance
What the data shows
Cigna is the largest insurer of employer health plans in District of Columbia: 129 plans held a Cigna major-medical contract in form year 2024, 34% of the state's 385 insured large plans, ahead of Blue Cross Blue Shield with 112.
Cigna has grown 5% in District of Columbia since 2020, from 123 plans.
Most of these plans cover 100–499 people (80 plans); 11 cover 1,000 or more.
Median premium per person covered was $10,794, 30% above the District of Columbia all-carrier median of $8,309. Benefit design and group mix differ, so this is not a price comparison.
89% of these plans reported broker or agent pay on their Cigna contracts; where paid, the median was 4.6% of premium (middle half 3.0%–6.5%).
In Cigna national PPO, 28 of the 50 Employer 50 services have a District of Columbia benchmark, at a median of 155% of Medicare across those services.
Cigna plans in District of Columbia, 2020–2024
| Form year | Plans | Persons covered | Share of state | Median premium / person |
|---|---|---|---|---|
| 2020 | 123 | 56,654 | 36% | $9,501 |
| 2021 | 124 | 57,792 | 36% | $8,924 |
| 2022 | 138 | 81,239 | 39% | $9,473 |
| 2023 | 128 | 59,653 | 35% | $10,215 |
| 2024 | 129 | 57,108 | 34% | $10,794 |
| 2025 (partial) | 102 | 32,232 | 41% | $10,708 |
Plan size
| Persons covered | Plans | Share |
|---|---|---|
| Under 100 | 29 | 22% |
| 100–499 | 80 | 62% |
| 500–999 | 4 | 3% |
| 1,000–4,999 | 10 | 8% |
| 5,000 or more | 1 | 1% |
Premiums and broker pay
| Measure | Cigna | All carriers, District of Columbia |
|---|---|---|
| Median premium per person covered | $10,794 | $8,309 |
| Premium per person, middle half | $6,046–$16,587 | $5,778–$11,551 |
| Plans reporting broker or agent pay | 89% | 80% |
| Median broker pay, % of premium | 4.6% | 4.5% |
| Broker pay, middle half | 3.0%–6.5% | 3.0%–5.8% |
| Median broker pay per person covered | $455 | $344 |
Industries
Cigna's District of Columbia employer clients are concentrated in other services (43 plans) and professional and technical services (32), followed by educational services (15).
| Industry | Plans | Share |
|---|---|---|
| Other services | 43 | 33% |
| Professional and technical services | 32 | 25% |
| Educational services | 15 | 12% |
| Information | 10 | 8% |
| Finance and insurance | 7 | 5% |
| Health care and social assistance | 7 | 5% |
Cigna employer clients in District of Columbia
125 employers in District of Columbia have a Cigna major-medical contract, 11 of them covering 1,000 or more people. For each one Medlyze has the plan year, the broker on each contract and what that broker was paid, and compiles the list for a state, an industry or a single employer on request.
| Employer | Persons covered | Plan year ends | Broker | Broker pay, % of premium |
|---|---|---|---|---|
| Employer name | Locked | Locked | Locked | Locked |
| Employer name | Locked | Locked | Locked | Locked |
| Employer name | Locked | Locked | Locked | Locked |
Brokers: request the Cigna Prospect List for District of Columbia →
What the Cigna network pays physicians in District of Columbia
| Service | Code | Median | Middle half | % of Medicare | Other networks, median | Provider groups |
|---|---|---|---|---|---|---|
| Diagnostic heart catheterization with coronary angiography | 93458 | $507 | $310–$853 | 176% | $318 | 35 |
| Echocardiogram, transthoracic complete with Doppler | 93306 | $108 | $73–$188 | 160% | $89 | 35 |
| Electrocardiogram (EKG), complete | 93000 | $27 | $16–$47 | 175% | $20 | 35 |
| Nuclear stress test (SPECT myocardial perfusion) | 78452 | $107 | $63–$185 | 144% | $95 | 35 |
| Treadmill stress test, complete | 93015 | $128 | $82–$223 | 175% | $92 | 35 |
| Cataract removal with lens implant | 66984 | $716 | $512–$1,346 | 155% | $640 | 31 |
| Abdominal ultrasound, complete | 76700 | $51 | $36–$76 | 136% | $48 | 125 |
| Bone density scan (DXA), axial | 77080 | $13 | $9–$19 | 134% | $12 | 124 |
| CT abdomen and pelvis with contrast | 74177 | $110 | $82–$173 | 131% | $114 | 124 |
| CT chest without contrast | 71250 | $66 | $49–$102 | 133% | $72 | 124 |
| Chest X-ray, 2 views | 71046 | $14 | $10–$21 | 136% | $13 | 124 |
| MRI brain without and with contrast | 70553 | $139 | $104–$215 | 132% | $142 | 124 |
| MRI cervical spine without contrast | 72141 | $92 | $67–$140 | 135% | $107 | 124 |
| MRI knee (lower-extremity joint) without contrast | 73721 | $82 | $61–$125 | 131% | $99 | 124 |
| MRI lumbar spine without contrast | 72148 | $90 | $67–$137 | 132% | $106 | 124 |
Professional fee only: facility, implant and anesthesia charges are not included. Limited: rates come from a sample of providers, and groups are counted only in specialties that perform the service.
Carriers in District of Columbia
| Carrier | Plans | Share | Median premium / person | Median broker % |
|---|---|---|---|---|
| Cigna | 129 | 34% | $10,794 | 4.6% |
| Blue Cross Blue Shield | 112 | 29% | $8,416 | 4.8% |
| Kaiser Permanente | 80 | 21% | $8,286 | 3.5% |
| UnitedHealthcare | 69 | 18% | $6,501 | 4.0% |
| Other insurers (regional and local plans) | 49 | 13% | $8,784 | 4.9% |
| Aetna | 27 | 7% | $7,440 | 4.4% |
Cigna in other states
FAQ
How many District of Columbia employers have Cigna health insurance?
129 employer health plans in District of Columbia reported a Cigna major-medical contract in their 2024 filings, covering 57,108 persons. Self-funded plans that Cigna only administers are not counted.
What is Cigna's share of the District of Columbia insured employer market?
34% of insured large employer health plans, 1st of 6 carrier groups by plan count.
How much do brokers earn on Cigna plans in District of Columbia?
Where broker or agent pay was reported, the median was 4.6% of premium (4.5% across all carriers in District of Columbia).
Can I see the figures for a specific employer?
Yes. Brokers can request an Employer Account Brief on one employer, or a Prospect List for this market. Employers can request a Plan Cost Benchmark for their own plan. Use the request form on this page.
About these numbers
- Plans counted: the 129 District of Columbia employer health plans with a Cigna major-medical contract in their 2024 filings. Self-funded plans that Cigna only administers are not counted here.
- Premium and broker figures: 113 contracts with 20+ persons covered and a reported premium; broker percentages use the 115 contracts that reported broker or agent pay.
- Network rates: Cigna national PPO, professional fees only, from a sample of providers.
- Full method and limits: how the employer health plan data is built.