Cigna employer health plans in Ohio
Who Cigna insures among Ohio employers and what those plans pay in premium and broker compensation, and what the Cigna network pays physicians and hospitals.
Cigna employer health plans in Ohio at a glance
What the data shows
Cigna insures 182 employer health plans in Ohio (13% of 1,408 insured large plans), 4th of 8 carrier groups; Anthem (Elevance Health) (395), UnitedHealthcare (254) hold more.
Cigna has grown 54% in Ohio since 2020, from 118 plans.
Most of these plans cover 100–499 people (112 plans); 15 cover 1,000 or more.
Median premium per person covered was $4,365, 34% below the Ohio all-carrier median of $6,598. Benefit design and group mix differ, so this is not a price comparison.
81% of these plans reported broker or agent pay on their Cigna contracts; where paid, the median was 5.0% of premium (middle half 3.0%–9.0%).
In Cigna national PPO, 32 of the 50 Employer 50 services have a Ohio benchmark, at a median of 150% of Medicare across those services.
At Ohio hospitals, Cigna's commercial rates run higher than other carriers' at the same hospital for 5 of 17 services; a hip or knee replacement stay has a median rate of $21,241 across 18 hospitals.
Cigna plans in Ohio, 2020–2024
| Form year | Plans | Persons covered | Share of state | Median premium / person |
|---|---|---|---|---|
| 2020 | 118 | 68,777 | 7% | $4,328 |
| 2021 | 128 | 83,120 | 9% | $2,589 |
| 2022 | 149 | 102,769 | 10% | $3,384 |
| 2023 | 177 | 110,923 | 12% | $4,111 |
| 2024 | 182 | 114,292 | 13% | $4,365 |
| 2025 (partial) | 130 | 93,239 | 13% | $3,511 |
Plan size
| Persons covered | Plans | Share |
|---|---|---|
| Under 100 | 34 | 19% |
| 100–499 | 112 | 62% |
| 500–999 | 19 | 10% |
| 1,000–4,999 | 9 | 5% |
| 5,000 or more | 6 | 3% |
Premiums and broker pay
| Measure | Cigna | All carriers, Ohio |
|---|---|---|
| Median premium per person covered | $4,365 | $6,598 |
| Premium per person, middle half | $1,012–$9,605 | $3,981–$10,071 |
| Plans reporting broker or agent pay | 81% | 80% |
| Median broker pay, % of premium | 5.0% | 3.6% |
| Broker pay, middle half | 3.0%–9.0% | 2.4%–5.2% |
| Median broker pay per person covered | $266 | $233 |
Industries
Cigna's Ohio employer clients are concentrated in manufacturing (66 plans) and professional and technical services (24), followed by health care and social assistance (17).
| Industry | Plans | Share |
|---|---|---|
| Manufacturing | 66 | 36% |
| Professional and technical services | 24 | 13% |
| Health care and social assistance | 17 | 9% |
| Wholesale trade | 14 | 8% |
| Finance and insurance | 9 | 5% |
| Retail trade | 9 | 5% |
Cigna employer clients in Ohio
176 employers in Ohio have a Cigna major-medical contract, 15 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 |
What the Cigna network pays physicians in Ohio
| Service | Code | Median | Middle half | % of Medicare | Other networks, median | Provider groups |
|---|---|---|---|---|---|---|
| Diagnostic heart catheterization with coronary angiography | 93458 | $395 | $352–$506 | 137% | $416 | 65 |
| Echocardiogram, transthoracic complete with Doppler | 93306 | $95 | $82–$116 | 141% | $94 | 66 |
| Electrocardiogram (EKG), complete | 93000 | $21 | $18–$28 | 138% | $19 | 65 |
| Nuclear stress test (SPECT myocardial perfusion) | 78452 | $100 | $75–$145 | 135% | $88 | 66 |
| Treadmill stress test, complete | 93015 | $97 | $87–$135 | 132% | $94 | 65 |
| Skin biopsy, single lesion (tangential) | 11102 | $197 | $180–$197 | 206% | $102 | 12 |
| Colonoscopy (diagnostic, with biopsy, with polyp removal) | 45378 | $348 | $286–$376 | 211% | $274 | 12 |
| Upper GI endoscopy (diagnostic, with biopsy) | 43239 | $267 | $209–$296 | 216% | $285 | 12 |
| Cataract removal with lens implant | 66984 | $574 | $493–$888 | 124% | $589 | 66 |
| Abdominal ultrasound, complete | 76700 | $62 | $45–$87 | 167% | $54 | 112 |
| Bone density scan (DXA), axial | 77080 | $15 | $11–$21 | 164% | $14 | 112 |
| CT abdomen and pelvis with contrast | 74177 | $136 | $97–$195 | 163% | $127 | 111 |
| CT chest without contrast | 71250 | $83 | $59–$115 | 167% | $80 | 111 |
| Chest X-ray, 2 views | 71046 | $16 | $12–$24 | 162% | $15 | 108 |
| MRI brain without and with contrast | 70553 | $174 | $127–$245 | 165% | $163 | 111 |
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.
What the Cigna network pays hospitals in Ohio
Cigna commercial rates are on record at 56 Ohio hospitals (the hospitals covered so far, not every hospital). Compared at the same hospitals, Cigna's rate is higher than the other carriers' median for 5 of 17 services and lower for 9. For Emergency visit, level 4, the rate runs from $322 to $1,900 across 14 hospitals.
This page shows 3 of the 17 services in full. The other rates, the size of each gap and every hospital's prices are in the Plan Cost Benchmark.
| Service | Hospitals | Median rate | Range (P10–P90) | vs other carriers, same hospitals | Cash price, median |
|---|---|---|---|---|---|
| Hip or knee replacement (hospital stay) | 18 | $21,241 | $12,000–$32,984 | Lower | – |
| C-section delivery (hospital stay) | 18 | Locked | Locked | About the same | Locked |
| Vaginal delivery (hospital stay) | 18 | Locked | Locked | Lower | Locked |
| MRI, lower back | 14 | $1,375 | $571–$2,677 | Lower | $2,266 |
| MRI, knee | 12 | Locked | Locked | Lower | Locked |
| CT, head | 14 | Locked | Locked | Lower | Locked |
| CT, abdomen and pelvis | 14 | Locked | Locked | Lower | Locked |
| Screening mammogram | 9 | Locked | Locked | Higher | Locked |
| Colonoscopy, diagnostic | 10 | Locked | Locked | Lower | Locked |
| Upper GI endoscopy with biopsy | 11 | Locked | Locked | Lower | Locked |
| Knee arthroscopy | 12 | Locked | Locked | Lower | Locked |
| Cataract surgery | 13 | Locked | Locked | Higher | Locked |
| Gallbladder removal, laparoscopic | 13 | Locked | Locked | Higher | Locked |
| Knee replacement, outpatient | 11 | Locked | Locked | Higher | Locked |
| Emergency visit, level 4 | 14 | $1,710 | $322–$1,900 | About the same | $1,096 |
| Comprehensive metabolic panel | 10 | Locked | Locked | About the same | Locked |
| Complete blood count | 8 | Locked | Locked | Higher | Locked |
Hospitals with the most published Cigna rates
| Hospital | Joint replacement | MRI lower back | CT abdomen | Colonoscopy | ER level 4 | Vaginal delivery |
|---|---|---|---|---|---|---|
| Ashtabula County Medical Center | – | Locked | Locked | Locked | Locked | Locked |
| Uh Ahuja Medical Center | $23,147 | Locked | Locked | Locked | Locked | Locked |
| Uh Beachwood Medical Center | $21,241 | Locked | Locked | Locked | Locked | Locked |
| Uh Conneaut Medical Center | $12,000 | Locked | Locked | Locked | Locked | Locked |
| Uh Elyria Medical Center | $17,939 | Locked | Locked | Locked | Locked | Locked |
| Uh Geneva Medical Center | $12,000 | Locked | Locked | Locked | Locked | Locked |
| Uh Parma Medical Center | $17,939 | Locked | Locked | Locked | Locked | Locked |
| Uh Portage Medical Center | $18,517 | Locked | Locked | Locked | Locked | Locked |
| Uh St John Medical Center | $18,517 | Locked | Locked | Locked | Locked | Locked |
| Uh Tripoint Medical Center | $22,427 | Locked | Locked | Locked | Locked | Locked |
How the contracts are written: case rates 16%, fee schedules 18%, per diem 0%, percent of billed charges 51%, other 14% of Cigna's published commercial rates for these services in Ohio.
Employers: see all 17 services and every hospital near your people in a Plan Cost Benchmark →
Hospital facility rate only: physician, anesthesia and implant charges are separate. Rates are what hospitals publish, not claims paid, and are not weighted by use.
Carriers in Ohio
| Carrier | Plans | Share | Median premium / person | Median broker % |
|---|---|---|---|---|
| Other insurers (regional and local plans) | 486 | 35% | $9,434 | 4.0% |
| Anthem (Elevance Health) | 395 | 28% | $6,059 | 3.0% |
| UnitedHealthcare | 254 | 18% | $6,059 | 3.3% |
| Cigna | 182 | 13% | $4,365 | 5.0% |
| Aetna | 108 | 8% | $5,877 | 1.4% |
| Kaiser Permanente | 72 | 5% | $9,657 | 3.4% |
| Blue Cross Blue Shield | 56 | 4% | $6,144 | 4.4% |
| Humana | 20 | 1% | $2,090 | 4.7% |
Cigna in other states
FAQ
How many Ohio employers have Cigna health insurance?
182 employer health plans in Ohio reported a Cigna major-medical contract in their 2024 filings, covering 114,292 persons. Self-funded plans that Cigna only administers are not counted.
What is Cigna's share of the Ohio insured employer market?
13% of insured large employer health plans, 4th of 8 carrier groups by plan count.
How much do brokers earn on Cigna plans in Ohio?
Where broker or agent pay was reported, the median was 5.0% of premium (3.6% across all carriers in Ohio).
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 182 Ohio 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: 168 contracts with 20+ persons covered and a reported premium; broker percentages use the 148 contracts that reported broker or agent pay.
- Network rates: Cigna national PPO, professional fees only, from a sample of providers.
- Hospital prices: Cigna commercial rates at Ohio hospitals; stay and facility prices only.
- Full method and limits: how the employer health plan data is built.