Cigna negotiated rates in Idaho
How Cigna's Idaho rates compare with the other three national payers, across the procedures that matter most to high-revenue specialties.
Cigna in Idaho at a glance
What the data shows
Cigna ranks 4th of 4 payers in Idaho with a rate index of 97 (100 = the Idaho market median), across 227 procedure codes.
Cigna has the highest median for only 10% of codes in Idaho; Aetna leads with an index of 112 in the files analyzed.
Cigna's Idaho rates sit 0% above its own national level, the 22nd highest of its 51 states.
Largest premium over the Idaho market: CPT 99454 (Rem mntr physiol param 16-30) at 119% of market; largest discount: CPT 72131 (Ct lumbar spine w/o dye) at 41%.
How the four payers compare in Idaho
| Payer | Index | Rank | Level | Highest on | Providers |
|---|---|---|---|---|---|
| Aetna | 112 | 1 | 38% | 491 | |
| Blue Cross Blue Shield | 107 | 2 | 25% | 547 | |
| UnitedHealthcare | 98 | 3 | 27% | 546 | |
| Cigna | 97 | 4 | 10% | 529 |
Where Cigna pays most and least against the Idaho market
Highest above market
| Code | Cigna | Market | Gap | Prov. |
|---|---|---|---|---|
| 99454 Rem mntr physiol param 16-30 | $101 | $85 | +19% | 137 |
| 96574 Dbrdmt prmlg les w/pdt | $448 | $381 | +18% | 43 |
| 99349 Home/res vst est mod mdm 40 | $222 | $195 | +14% | 92 |
| 99348 Home/res vst est low mdm 30 | $144 | $128 | +13% | 92 |
| 99350 Home/res vst est high mdm 60 | $307 | $275 | +12% | 92 |
| 96910 Photchmtx tar&uvb/ptrltm&uvb | $182 | $163 | +12% | 43 |
| 99214 Office o/p est mod 30 min | $160 | $144 | +11% | 529 |
| 93296 Rem interrog evl pm/ids | $41 | $37 | +10% | 46 |
Furthest below market
| Code | Cigna | Market | Gap | Prov. |
|---|---|---|---|---|
| 72131 Ct lumbar spine w/o dye | $109 | $268 | -59% | 100 |
| 72125 Ct neck spine w/o dye | $109 | $269 | -59% | 100 |
| 71250 Ct thorax dx c- | $112 | $272 | -59% | 100 |
| 71260 Ct thorax dx c+ | $141 | $336 | -58% | 100 |
| 70551 Mri brain stem w/o dye | $169 | $400 | -58% | 100 |
| 73721 Mri jnt of lwr extre w/o dye | $174 | $396 | -56% | 210 |
| 74183 Mri abd w/o cntr flwd cntr | $297 | $676 | -56% | 100 |
| 72141 Mri neck spine w/o dye | $165 | $375 | -56% | 100 |
Where Cigna pays above and below its national level
Frequently asked questions
Does Cigna pay more or less than the other payers in Idaho?
Cigna ranks 4th of 4 in Idaho with an index of 97. It is highest on 10% of codes.
Are Cigna's Idaho rates above or below its national level?
About 0% above.
Which procedure does Cigna pay most above market in Idaho?
CPT 99454 (Rem mntr physiol param 16-30), at 119% of the Idaho 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 Idaho?
Compare your negotiated rates for these codes with Idaho medians for each payer.