Cigna negotiated rates in Delaware
How Cigna's Delaware rates compare with the other three national payers, across the procedures that matter most to high-revenue specialties.
Cigna in Delaware at a glance
What the data shows
Cigna ranks 2nd of 4 payers in Delaware with a rate index of 100 (100 = the Delaware market median), across 194 procedure codes.
Cigna has the highest median for only 16% of codes in Delaware; UnitedHealthcare leads with an index of 108 in the files analyzed.
Cigna's Delaware rates sit 18% below its own national level, the 48th highest of its 51 states.
Largest premium over the Delaware market: CPT 96372 (Ther/proph/diag inj sc/im) at 131% of market; largest discount: CPT 88313 (Special stains group 2) at 53%.
How the four payers compare in Delaware
| Payer | Index | Rank | Level | Highest on | Providers |
|---|---|---|---|---|---|
| UnitedHealthcare | 108 | 1 | 70% | 379 | |
| Cigna | 100 | 2 | 16% | 392 | |
| Blue Cross Blue Shield | 87 | 3 | 10% | 170 | |
| Aetna | 87 | 4 | 12% | 349 |
Where Cigna pays most and least against the Delaware market
Highest above market
| Code | Cigna | Market | Gap | Prov. |
|---|---|---|---|---|
| 96372 Ther/proph/diag inj sc/im | $23 | $17 | +31% | 96 |
| 27130 Total hip arthroplasty | $2,446 | $1,898 | +29% | 46 |
| 23472 Reconstruct shoulder joint | $2,625 | $2,039 | +29% | 46 |
| 27487 Revise/replace knee joint | $3,172 | $2,471 | +28% | 46 |
| 27245 Treat thigh fracture | $2,220 | $1,754 | +26% | 46 |
| 27236 Treat thigh fracture | $2,156 | $1,710 | +26% | 46 |
| 22633 Arthrd cmbn 1ntrspc lumbar | $3,387 | $2,689 | +26% | 46 |
| 75574 Ct angio hrt w/3d image | $612 | $487 | +26% | 66 |
Furthest below market
| Code | Cigna | Market | Gap | Prov. |
|---|---|---|---|---|
| 88313 Special stains group 2 | $36 | $67 | -47% | 29 |
| 88312 Special stains group 1 | $56 | $97 | -42% | 41 |
| 45388 Colonoscopy w/ablation | $374 | $543 | -31% | 29 |
| 43239 Egd biopsy single/multiple | $203 | $284 | -29% | 29 |
| 43235 Egd diagnostic brush wash | $181 | $250 | -28% | 29 |
| 52000 Cystourethroscopy | $141 | $182 | -22% | 25 |
| 51728 Cystometrogram w/vp | $321 | $409 | -22% | 25 |
| 67028 Injection eye drug | $88 | $112 | -22% | 39 |
Where Cigna pays above and below its national level
Frequently asked questions
Does Cigna pay more or less than the other payers in Delaware?
Cigna ranks 2nd of 4 in Delaware with an index of 100. It is highest on 16% of codes.
Are Cigna's Delaware rates above or below its national level?
About 18% below.
Which procedure does Cigna pay most above market in Delaware?
CPT 96372 (Ther/proph/diag inj sc/im), at 131% of the Delaware 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 Delaware?
Compare your negotiated rates for these codes with Delaware medians for each payer.