Cigna · Georgia · commercial in-network

Cigna negotiated rates in Georgia

How Cigna's Georgia rates compare with the other three national payers, across the procedures that matter most to high-revenue specialties.

Cigna in Georgia at a glance

Across 228 procedure codes for 8 specialties
Rate index vs state market
105
5% above the Georgia median
Rank in state
2 of 4
UHC 115 · Cigna 105 · BCBS 98 · Aetna 83
vs own national
136
Cigna's level vs its national median
Codes where highest
27%
of 228 codes
829 sampled providers527 TINs228 codesMedian 208% of Medicare · method

What the data shows

Generated from Georgia and Cigna data only
1

Cigna ranks 2nd of 4 payers in Georgia with a rate index of 105 (100 = the Georgia market median), across 228 procedure codes.

2

Cigna has the highest median for only 27% of codes in Georgia; UnitedHealthcare leads with an index of 115 in the files analyzed.

3

Cigna's Georgia rates sit 36% above its own national level, the 5th highest of its 51 states.

4

Largest premium over the Georgia market: CPT 74174 (Cta abd&plvs w/contrast) at 170% of market; largest discount: CPT 88342 (Imhchem/imcytchm 1st antb) at 49%.

How the four payers compare in Georgia

Rate index: 100 = the state four-payer median for the same codes
PayerIndexRankLevelHighest onProviders
UnitedHealthcare1151
115
61%780
Cigna1052
105
27%829
Blue Cross Blue Shield983
98
10%944
Aetna834
83
2%755

Where Cigna pays most and least against the Georgia market

Codes with the largest gap to the state median

Highest above market

CodeCignaMarketGapProv.
74174
Cta abd&plvs w/contrast
$1,025$601+70%113
70496
Ct angiography head
$832$515+62%113
70498
Ct angiography neck
$830$515+61%113
71275
Ct angiography chest
$814$512+59%113
77066
Dx mammo incl cad bi
$369$237+56%110
77067
Scr mammo bi incl cad
$298$191+56%110
76642
Ultrasound breast limited
$197$126+56%110
74183
Mri abd w/o cntr flwd cntr
$1,126$729+55%113

Furthest below market

CodeCignaMarketGapProv.
88342
Imhchem/imcytchm 1st antb
$53$107-51%88
88312
Special stains group 1
$56$99-43%186
88313
Special stains group 2
$41$67-38%98
88305
Tissue exam by pathologist
$53$71-25%186
46221
Ligation of hemorrhoid(s)
$319$424-25%105
43251
Egd remove lesion snare
$426$536-20%105
43239
Egd biopsy single/multiple
$302$378-20%105
43274
Ercp duct stent placement
$783$963-19%104

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 Georgia?

Cigna ranks 2nd of 4 in Georgia with an index of 105. It is highest on 27% of codes.

Are Cigna's Georgia rates above or below its national level?

About 36% above.

Which procedure does Cigna pay most above market in Georgia?

CPT 74174 (Cta abd&plvs w/contrast), at 170% of the Georgia 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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