Cigna negotiated rates in Hawaii
How Cigna's Hawaii rates compare with the other three national payers, across the procedures that matter most to high-revenue specialties.
Cigna in Hawaii at a glance
What the data shows
Cigna ranks 2nd of 4 payers in Hawaii with a rate index of 100 (100 = the Hawaii market median), across 221 procedure codes.
Cigna has the highest median for 63% of codes in Hawaii.
Cigna's Hawaii rates sit 0% above its own national level, the 23rd highest of its 51 states.
Largest premium over the Hawaii market: CPT 93297 (Rem interrog dev eval icpms) at 107% of market; largest discount: CPT 93296 (Rem interrog evl pm/ids) at 83%.
How the four payers compare in Hawaii
| Payer | Index | Rank | Level | Highest on | Providers |
|---|---|---|---|---|---|
| Blue Cross Blue Shield | 109 | 1 | 52% | 472 | |
| UnitedHealthcare | 100 | 2 | 64% | 453 | |
| Cigna | 100 | 2 | 63% | 413 | |
| Aetna | 97 | 4 | 23% | 114 |
Where Cigna pays most and least against the Hawaii market
Highest above market
| Code | Cigna | Market | Gap | Prov. |
|---|---|---|---|---|
| 93297 Rem interrog dev eval icpms | $80 | $74 | +7% | 36 |
| 93298 Rem interrog dev eval scrms | $136 | $128 | +7% | 36 |
| 71045 X-ray exam chest 1 view | $37 | $37 | +2% | 82 |
| 92134 Cptrz oph dx img pst sgm rta | $43 | $43 | +0% | 81 |
| 20610 Drain/inj joint/bursa w/o us | $83 | $83 | +0% | 412 |
| 72131 Ct lumbar spine w/o dye | $190 | $190 | +0% | 80 |
| 45378 Diagnostic colonoscopy | $441 | $441 | +0% | 36 |
| 27487 Revise/replace knee joint | $2,168 | $2,168 | +0% | 53 |
Furthest below market
| Code | Cigna | Market | Gap | Prov. |
|---|---|---|---|---|
| 93296 Rem interrog evl pm/ids | $28 | $33 | -17% | 36 |
| 33361 Replace aortic valve perq | $1,391 | $1,605 | -13% | 36 |
| 93016 Cv stress test supvj only | $26 | $28 | -7% | 36 |
| 37243 Vasc embolize/occlude organ | $780 | $823 | -5% | 42 |
| 93015 Cv stress test supvj i&r | $96 | $100 | -4% | 36 |
| 73221 Mri joint upr extrem w/o dye | $300 | $304 | -1% | 133 |
| 73721 Mri jnt of lwr extre w/o dye | $299 | $302 | -1% | 133 |
| 93294 Rem interrog evl pm/ldls pm | $36 | $36 | -1% | 36 |
Where Cigna pays above and below its national level
Frequently asked questions
Does Cigna pay more or less than the other payers in Hawaii?
Cigna ranks 2nd of 4 in Hawaii with an index of 100. It is highest on 63% of codes.
Are Cigna's Hawaii rates above or below its national level?
About 0% above.
Which procedure does Cigna pay most above market in Hawaii?
CPT 93297 (Rem interrog dev eval icpms), at 107% of the Hawaii 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 Hawaii?
Compare your negotiated rates for these codes with Hawaii medians for each payer.