Cigna negotiated rates in District of Columbia
How Cigna's District of Columbia rates compare with the other three national payers, across the procedures that matter most to high-revenue specialties.
Cigna in District of Columbia at a glance
What the data shows
Cigna ranks 2nd of 4 payers in District of Columbia with a rate index of 121 (100 = the District of Columbia market median), across 227 procedure codes.
Cigna has the highest median for only 19% of codes in District of Columbia; UnitedHealthcare leads with an index of 142 in the files analyzed.
Cigna's District of Columbia rates sit 32% above its own national level, the 7th highest of its 51 states.
Largest premium over the District of Columbia market: CPT 75574 (Ct angio hrt w/3d image) at 266% of market; largest discount: CPT 88342 (Imhchem/imcytchm 1st antb) at 2%.
How the four payers compare in District of Columbia
| Payer | Index | Rank | Level | Highest on | Providers |
|---|---|---|---|---|---|
| UnitedHealthcare | 142 | 1 | 59% | 396 | |
| Cigna | 121 | 2 | 19% | 430 | |
| Aetna | 102 | 3 | 21% | 357 | |
| Blue Cross Blue Shield | 66 | 4 | 1% | 484 |
Where Cigna pays most and least against the District of Columbia market
Highest above market
| Code | Cigna | Market | Gap | Prov. |
|---|---|---|---|---|
| 75574 Ct angio hrt w/3d image | $1,773 | $667 | +166% | 59 |
| 93229 Remote 30 day ecg tech supp | $2,682 | $1,014 | +165% | 61 |
| 36482 Endoven ther chem adhes 1st | $428 | $218 | +96% | 62 |
| 93312 Echo transesophageal | $859 | $440 | +95% | 64 |
| 45390 Colonoscopy w/resection | $918 | $506 | +81% | 38 |
| 76872 Us transrectal | $552 | $312 | +77% | 40 |
| 93298 Rem interrog dev eval scrms | $104 | $59 | +76% | 64 |
| 70496 Ct angiography head | $773 | $441 | +75% | 102 |
Furthest below market
| Code | Cigna | Market | Gap | Prov. |
|---|---|---|---|---|
| 88342 Imhchem/imcytchm 1st antb | $1 | $82 | -98% | 31 |
| 88312 Special stains group 1 | $57 | $78 | -27% | 74 |
| 11102 Tangntl bx skin single les | $35 | $45 | -23% | 30 |
| 11104 Punch bx skin single lesion | $44 | $56 | -22% | 30 |
| 17311 Mohs 1 stage h/n/hf/g | $332 | $426 | -22% | 30 |
| 11302 Shave skin lesion 1.1-2.0 cm | $56 | $72 | -22% | 31 |
| 17262 Dstrj mal les t/a/l 1.1-2.0 | $106 | $134 | -21% | 31 |
| 17004 Destroy premal lesions 15/> | $95 | $119 | -21% | 31 |
Where Cigna pays above and below its national level
Frequently asked questions
Does Cigna pay more or less than the other payers in District of Columbia?
Cigna ranks 2nd of 4 in District of Columbia with an index of 121. It is highest on 19% of codes.
Are Cigna's District of Columbia rates above or below its national level?
About 32% above.
Which procedure does Cigna pay most above market in District of Columbia?
CPT 75574 (Ct angio hrt w/3d image), at 266% of the District of Columbia 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 District of Columbia?
Compare your negotiated rates for these codes with District of Columbia medians for each payer.