Cigna negotiated rates in Maryland
How Cigna's Maryland rates compare with the other three national payers, across the procedures that matter most to high-revenue specialties.
Cigna in Maryland at a glance
What the data shows
Cigna ranks 2nd of 4 payers in Maryland with a rate index of 110 (100 = the Maryland market median), across 227 procedure codes.
Cigna has the highest median for only 13% of codes in Maryland; UnitedHealthcare leads with an index of 131 in the files analyzed.
Cigna's Maryland rates sit 5% below its own national level, the 34th highest of its 51 states.
Largest premium over the Maryland market: CPT 93298 (Rem interrog dev eval scrms) at 251% of market; largest discount: CPT 88305 (Tissue exam by pathologist) at 59%.
How the four payers compare in Maryland
| Payer | Index | Rank | Level | Highest on | Providers |
|---|---|---|---|---|---|
| UnitedHealthcare | 131 | 1 | 63% | 606 | |
| Cigna | 110 | 2 | 13% | 723 | |
| Aetna | 101 | 3 | 24% | 645 | |
| Blue Cross Blue Shield | 74 | 4 | 0% | 758 |
Where Cigna pays most and least against the Maryland market
Highest above market
| Code | Cigna | Market | Gap | Prov. |
|---|---|---|---|---|
| 93298 Rem interrog dev eval scrms | $104 | $41 | +151% | 94 |
| 93280 Pm device progr eval dual | $132 | $83 | +58% | 94 |
| 78452 Ht muscle image spect mult | $721 | $466 | +55% | 174 |
| 93312 Echo transesophageal | $440 | $284 | +55% | 94 |
| 99350 Home/res vst est high mdm 60 | $261 | $169 | +55% | 81 |
| 93308 Tte f-up or lmtd | $172 | $114 | +51% | 94 |
| 64566 Neuroeltrd stim post tibial | $97 | $64 | +51% | 90 |
| 52281 Cystoscopy and treatment | $486 | $322 | +51% | 90 |
Furthest below market
| Code | Cigna | Market | Gap | Prov. |
|---|---|---|---|---|
| 88305 Tissue exam by pathologist | $38 | $64 | -41% | 190 |
| 88342 Imhchem/imcytchm 1st antb | $55 | $89 | -38% | 94 |
| 88312 Special stains group 1 | $56 | $88 | -36% | 190 |
| 88313 Special stains group 2 | $44 | $66 | -34% | 94 |
| 92134 Cptrz oph dx img pst sgm rta | $34 | $41 | -18% | 90 |
| 92133 Cptrzd oph dx img pst sgm on | $33 | $38 | -14% | 90 |
| 67028 Injection eye drug | $100 | $114 | -13% | 90 |
| 76857 Us exam pelvic limited | $45 | $51 | -12% | 90 |
Where Cigna pays above and below its national level
Frequently asked questions
Does Cigna pay more or less than the other payers in Maryland?
Cigna ranks 2nd of 4 in Maryland with an index of 110. It is highest on 13% of codes.
Are Cigna's Maryland rates above or below its national level?
About 5% below.
Which procedure does Cigna pay most above market in Maryland?
CPT 93298 (Rem interrog dev eval scrms), at 251% of the Maryland 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 Maryland?
Compare your negotiated rates for these codes with Maryland medians for each payer.