Cigna · Maine · commercial in-network

Cigna negotiated rates in Maine

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

Cigna in Maine at a glance

Across 227 procedure codes for 8 specialties
Rate index vs state market
100
0% above the Maine median
Rank in state
3 of 4
UHC 124 · BCBS 103 · Cigna 100 · Aetna 85
vs own national
103
Cigna's level vs its national median
Codes where highest
9%
of 227 codes
597 sampled providers324 TINs227 codesMedian 156% of Medicare · method

What the data shows

Generated from Maine and Cigna data only
1

Cigna ranks 3rd of 4 payers in Maine with a rate index of 100 (100 = the Maine market median), across 227 procedure codes.

2

Cigna has the highest median for only 9% of codes in Maine; UnitedHealthcare leads with an index of 124 in the files analyzed.

3

Cigna's Maine rates sit 3% above its own national level, the 20th highest of its 51 states.

4

Largest premium over the Maine market: CPT 93298 (Rem interrog dev eval scrms) at 340% of market; largest discount: CPT 72125 (Ct neck spine w/o dye) at 75%.

How the four payers compare in Maine

Rate index: 100 = the state four-payer median for the same codes
PayerIndexRankLevelHighest onProviders
UnitedHealthcare1241
124
74%546
Blue Cross Blue Shield1032
103
18%215
Cigna1003
100
9%597
Aetna854
85
4%552

Where Cigna pays most and least against the Maine market

Codes with the largest gap to the state median

Highest above market

CodeCignaMarketGapProv.
93298
Rem interrog dev eval scrms
$154$45+240%88
76872
Us transrectal
$301$164+84%44
90960
Esrd srv 4 visits p mo 20+
$679$447+52%110
77080
Dxa bone density axial
$92$62+48%118
70553
Mri brain stem w/o & w/dye
$986$678+46%118
72158
Mri lumbar spine w/o & w/dye
$986$680+45%118
72141
Mri neck spine w/o dye
$624$432+44%118
96910
Photchmtx tar&uvb/ptrltm&uvb
$229$160+43%38

Furthest below market

CodeCignaMarketGapProv.
72125
Ct neck spine w/o dye
$171$228-25%118
71260
Ct thorax dx c+
$220$290-24%118
72131
Ct lumbar spine w/o dye
$170$220-23%118
71250
Ct thorax dx c-
$175$225-22%118
11104
Punch bx skin single lesion
$89$110-19%38
77049
Mri breast c-+ w/cad bi
$590$726-19%118
11102
Tangntl bx skin single les
$71$88-18%38
70450
Ct head/brain w/o dye
$139$170-18%118

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 Maine?

Cigna ranks 3rd of 4 in Maine with an index of 100. It is highest on 9% of codes.

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

About 3% above.

Which procedure does Cigna pay most above market in Maine?

CPT 93298 (Rem interrog dev eval scrms), at 340% of the Maine 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.

Is your Cigna contract at market in Maine?

Compare your negotiated rates for these codes with Maine medians for each payer.

Request a rate benchmark