Cigna negotiated rates in Colorado
How Cigna's Colorado rates compare with the other three national payers, across the procedures that matter most to high-revenue specialties.
Cigna in Colorado at a glance
What the data shows
Cigna ranks 3rd of 4 payers in Colorado with a rate index of 94 (100 = the Colorado market median), across 227 procedure codes.
Cigna has the highest median for only 3% of codes in Colorado; UnitedHealthcare leads with an index of 113 in the files analyzed.
Cigna's Colorado rates sit 5% below its own national level, the 33rd highest of its 51 states.
Largest premium over the Colorado market: CPT 92250 (Fundus photography w/i&r) at 121% of market; largest discount: CPT 88313 (Special stains group 2) at 49%.
How the four payers compare in Colorado
| Payer | Index | Rank | Level | Highest on | Providers |
|---|---|---|---|---|---|
| UnitedHealthcare | 113 | 1 | 74% | 749 | |
| Blue Cross Blue Shield | 100 | 2 | 22% | 796 | |
| Cigna | 94 | 3 | 3% | 752 | |
| Aetna | 82 | 4 | 1% | 717 |
Where Cigna pays most and least against the Colorado market
Highest above market
| Code | Cigna | Market | Gap | Prov. |
|---|---|---|---|---|
| 92250 Fundus photography w/i&r | $75 | $62 | +21% | 82 |
| 93925 Lower extremity study | $402 | $332 | +21% | 100 |
| 72125 Ct neck spine w/o dye | $318 | $278 | +15% | 95 |
| 72131 Ct lumbar spine w/o dye | $311 | $275 | +13% | 95 |
| 93880 Extracranial bilat study | $315 | $279 | +13% | 289 |
| 77080 Dxa bone density axial | $78 | $70 | +12% | 99 |
| 92136 Ophthalmic biometry | $87 | $78 | +11% | 82 |
| 93656 Compre ep eval abltj atr fib | $1,675 | $1,512 | +11% | 100 |
Furthest below market
| Code | Cigna | Market | Gap | Prov. |
|---|---|---|---|---|
| 88313 Special stains group 2 | $42 | $85 | -51% | 98 |
| 93298 Rem interrog dev eval scrms | $40 | $79 | -50% | 100 |
| 88312 Special stains group 1 | $57 | $98 | -42% | 205 |
| 93297 Rem interrog dev eval icpms | $40 | $66 | -39% | 100 |
| 88342 Imhchem/imcytchm 1st antb | $55 | $89 | -38% | 107 |
| 76856 Us exam pelvic complete | $106 | $171 | -38% | 93 |
| 88305 Tissue exam by pathologist | $45 | $70 | -35% | 205 |
| 78452 Ht muscle image spect mult | $455 | $671 | -32% | 188 |
Where Cigna pays above and below its national level
Frequently asked questions
Does Cigna pay more or less than the other payers in Colorado?
Cigna ranks 3rd of 4 in Colorado with an index of 94. It is highest on 3% of codes.
Are Cigna's Colorado rates above or below its national level?
About 5% below.
Which procedure does Cigna pay most above market in Colorado?
CPT 92250 (Fundus photography w/i&r), at 121% of the Colorado median.
Methodology
- 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 in Colorado?
Compare your negotiated rates for these codes with Colorado medians for each payer.