Cigna · Delaware · commercial in-network

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

Across 194 procedure codes for 8 specialties
Rate index vs state market
100
0% above the Delaware median
Rank in state
2 of 4
UHC 108 · Cigna 100 · BCBS 87 · Aetna 87
vs own national
82
Cigna's level vs its national median
Codes where highest
16%
of 194 codes
392 sampled providers249 TINs194 codesMedian 138% of Medicare · method

What the data shows

Generated from Delaware and Cigna data only
1

Cigna ranks 2nd of 4 payers in Delaware with a rate index of 100 (100 = the Delaware market median), across 194 procedure codes.

2

Cigna has the highest median for only 16% of codes in Delaware; UnitedHealthcare leads with an index of 108 in the files analyzed.

3

Cigna's Delaware rates sit 18% below its own national level, the 48th highest of its 51 states.

4

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

Rate index: 100 = the state four-payer median for the same codes
PayerIndexRankLevelHighest onProviders
UnitedHealthcare1081
108
70%379
Cigna1002
100
16%392
Blue Cross Blue Shield873
87
10%170
Aetna874
87
12%349

Where Cigna pays most and least against the Delaware market

Codes with the largest gap to the state median

Highest above market

CodeCignaMarketGapProv.
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

CodeCignaMarketGapProv.
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

Index vs the payer's own national median (100 = national)

Highest states

StateIndexProv.
Oregon152
735
Nebraska151
551
South Dakota141
286
Iowa141
604
Georgia136
829

Lowest states

StateIndexProv.
Alabama72
837
Florida75
775
Oklahoma80
748
Delaware82
392
Arizona82
698

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

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.

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