Cigna · payer overview
Cigna negotiated rates by state and specialty
Where Cigna pays above and below the market, from its published in-network files.
Cigna at a glance
228 codes · 51 states · 31,313 sampled providers · source: Cigna national PPO
Rate index
102
100 = four-payer median
Payer rank
2 of 4
1 = highest
Median % of Medicare
161%
across tracked codes
Highest on
18%
of codes
What the data shows
1
Cigna ranks 2nd of 4 payers with a rate index of 102 (100 = four-payer median) across 228 procedure codes.
2
Its median rate is 161% of Medicare, and it has the highest median on 18% of codes in the files analyzed.
3
Strongest market: Michigan (index 123 vs that state's market); weakest: Alaska (64).
4
Largest premium over the market: CPT 51798 (Us urine capacity measure) at 143% of market.
5
By specialty it is strongest for internal medicine (ranks 2nd of 4 payers).
Cigna by state
Index vs the state market; own-national index vs the payer's national level
| State | Index vs market | Rank in state | vs own national | Level | Providers |
|---|---|---|---|---|---|
| Michigan | 123 | 1 of 4 | 106 | 93 | |
| District of Columbia | 121 | 2 of 4 | 132 | 430 | |
| New York | 120 | 2 of 4 | 114 | 672 | |
| Iowa | 117 | 2 of 4 | 141 | 604 | |
| Nebraska | 114 | 2 of 4 | 151 | 551 | |
| New Mexico | 112 | 2 of 4 | 105 | 464 | |
| California | 112 | 2 of 4 | 100 | 648 | |
| Kentucky | 111 | 2 of 4 | 97 | 848 | |
| Rhode Island | 110 | 2 of 4 | 107 | 562 | |
| West Virginia | 110 | 2 of 4 | 99 | 518 | |
| Maryland | 110 | 2 of 4 | 95 | 723 | |
| Massachusetts | 109 | 2 of 4 | 133 | 808 | |
| Vermont | 109 | 2 of 4 | 115 | 302 | |
| Texas | 108 | 2 of 4 | 87 | 822 | |
| Connecticut | 107 | 2 of 4 | 131 | 855 | |
| Illinois | 106 | 2 of 4 | 100 | 644 | |
| Georgia | 105 | 2 of 4 | 136 | 829 | |
| New Hampshire | 105 | 2 of 4 | 129 | 665 | |
| New Jersey | 104 | 2 of 4 | 101 | 795 | |
| South Dakota | 103 | 2 of 4 | 141 | 286 | |
| North Carolina | 103 | 2 of 4 | 112 | 851 | |
| Indiana | 103 | 2 of 4 | 86 | 812 | |
| Virginia | 102 | 2 of 4 | 94 | 787 | |
| Arizona | 102 | 2 of 4 | 82 | 698 | |
| Minnesota | 102 | 3 of 4 | 98 | 169 | |
| Kansas | 101 | 2 of 4 | 97 | 674 | |
| Oregon | 100 | 2 of 4 | 152 | 735 | |
| Delaware | 100 | 2 of 4 | 82 | 392 | |
| Nevada | 100 | 3 of 4 | 85 | 657 | |
| Oklahoma | 100 | 2 of 4 | 80 | 748 | |
| Hawaii | 100 | 2 of 4 | 100 | 413 | |
| South Carolina | 100 | 3 of 4 | 90 | 778 | |
| Montana | 100 | 3 of 4 | 100 | 367 | |
| Maine | 100 | 3 of 4 | 103 | 597 | |
| Arkansas | 100 | 2 of 4 | 93 | 717 | |
| Washington | 99 | 2 of 4 | 128 | 749 | |
| Idaho | 97 | 4 of 4 | 100 | 529 | |
| Tennessee | 97 | 3 of 4 | 93 | 850 | |
| Florida | 96 | 3 of 4 | 75 | 775 | |
| Missouri | 96 | 3 of 4 | 87 | 849 | |
| Louisiana | 95 | 3 of 4 | 83 | 837 | |
| Ohio | 95 | 3 of 4 | 94 | 806 | |
| Utah | 94 | 3 of 4 | 91 | 751 | |
| Colorado | 94 | 3 of 4 | 95 | 752 | |
| Pennsylvania | 94 | 3 of 4 | 86 | 788 | |
| Mississippi | 89 | 4 of 4 | 100 | 702 | |
| Alabama | 86 | 4 of 4 | 72 | 837 | |
| Wyoming | 83 | 3 of 4 | 106 | 150 | |
| North Dakota | 81 | 3 of 4 | 99 | 71 | |
| Wisconsin | 67 | 3 of 4 | 108 | 296 | |
| Alaska | 64 | 4 of 4 | 108 | 57 |
Cigna by specialty
Index vs the four-payer median for the specialty's codes
| Specialty | Index | Rank of 4 | Highest on | Providers |
|---|---|---|---|---|
| Internal medicine | 104 | 2 of 4 | 8% | 4,182 |
| Urology | 103 | 2 of 4 | 16% | 3,400 |
| Diagnostic radiology | 108 | 2 of 4 | 37% | 4,669 |
| Cardiology | 106 | 2 of 4 | 10% | 4,088 |
| Orthopedic surgery | 102 | 3 of 4 | 18% | 4,050 |
| Ophthalmology | 100 | 3 of 4 | 10% | 3,784 |
| Gastroenterology | 100 | 3 of 4 | 0% | 3,606 |
| Dermatology | 97 | 3 of 4 | 0% | 3,534 |
Where Cigna pays most and least against the market
Highest above market
Furthest below market
| Code | Cigna | vs market |
|---|---|---|
| 88342 Imhchem/imcytchm 1st antb | $66 | -31% |
| 88312 Special stains group 1 | $68 | -30% |
| 88313 Special stains group 2 | $53 | -25% |
| 43239 Egd biopsy single/multiple | $277 | -21% |
| 88305 Tissue exam by pathologist | $56 | -20% |
| 52332 Cystoscopy and treatment | $294 | -18% |
| 52224 Cystoscopy and treatment | $379 | -17% |
| 11104 Punch bx skin single lesion | $67 | -17% |
Methodology
How these numbers are calculated
- Source: in-network negotiated-rate files published under the federal Transparency in Coverage rule, August 2026 snapshot: UnitedHealthcare Choice plans (74 files); Aetna commercial plans (70 files); Cigna national PPO (1 files); BCBS licensees' own-network files (5,387 files). Payer comparisons describe these files, not each payer's entire book of business.
- Sample: rates come from a random sample of up to 150 providers per state and specialty. Counts on this page are sampled providers and TINs, not totals.
- Which providers count: only providers in a specialty relevant to the code, because a rate in a payer file attaches to a provider group and is listed under every provider in that group.
- Filters: fee-for-service, professional billing class, no modifier, negotiated or fee-schedule dollar rates. Rates outside 1% to 1,000% of the Medicare rate are excluded.
- Statistic: one median rate per provider, then percentiles across providers. A cell is shown only with at least 15 sampled providers and 4 TINs.
- Medicare benchmark: CY2026 national physician fee schedule, non-QPP conversion factor, unadjusted for locality. Where the non-facility rate is more than twice the facility rate (office rates that include device or supply cost), the facility rate is used so comparisons are like for like.
Is your Cigna contract at market?
Compare your negotiated rates with these medians by state and specialty.