Cigna · New Jersey · commercial in-network

Cigna negotiated rates in New Jersey

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

Cigna in New Jersey at a glance

Across 227 procedure codes for 8 specialties
Rate index vs state market
104
4% above the New Jersey median
Rank in state
2 of 4
UHC 109 · Cigna 104 · BCBS 101 · Aetna 82
vs own national
101
Cigna's level vs its national median
Codes where highest
24%
of 227 codes
795 sampled providers638 TINs227 codesMedian 161% of Medicare · method

What the data shows

Generated from New Jersey and Cigna data only
1

Cigna ranks 2nd of 4 payers in New Jersey with a rate index of 104 (100 = the New Jersey market median), across 227 procedure codes.

2

Cigna has the highest median for only 24% of codes in New Jersey; UnitedHealthcare leads with an index of 109 in the files analyzed.

3

Cigna's New Jersey rates sit 1% above its own national level, the 21st highest of its 51 states.

4

Largest premium over the New Jersey market: CPT 64566 (Neuroeltrd stim post tibial) at 254% of market; largest discount: CPT 92136 (Ophthalmic biometry) at 59%.

How the four payers compare in New Jersey

Rate index: 100 = the state four-payer median for the same codes
PayerIndexRankLevelHighest onProviders
UnitedHealthcare1091
109
43%724
Cigna1042
104
24%795
Blue Cross Blue Shield1013
101
27%787
Aetna824
82
7%807

Where Cigna pays most and least against the New Jersey market

Codes with the largest gap to the state median

Highest above market

CodeCignaMarketGapProv.
64566
Neuroeltrd stim post tibial
$173$68+154%88
75574
Ct angio hrt w/3d image
$912$485+88%47
74183
Mri abd w/o cntr flwd cntr
$1,056$683+55%107
72197
Mri pelvis w/o & w/dye
$1,052$682+54%107
22558
Arthrd ant ntrbd min dsc lum
$4,329$3,065+41%77
63047
Lam facetec & foramot lumbar
$3,126$2,238+40%77
70553
Mri brain stem w/o & w/dye
$887$636+40%107
72158
Mri lumbar spine w/o & w/dye
$890$638+39%107

Furthest below market

CodeCignaMarketGapProv.
92136
Ophthalmic biometry
$36$61-41%106
92250
Fundus photography w/i&r
$27$44-40%106
92201
Opscpy extnd rta draw uni/bi
$17$23-28%106
92202
Opscpy extnd on/mac draw
$11$15-28%106
66984
Xcapsl ctrc rmvl w/o ecp
$450$620-27%106
92133
Cptrzd oph dx img pst sgm on
$27$36-27%106
65778
Cover eye w/membrane
$43$59-27%105
15823
Blepharp upr eyelid xcsv skn
$395$533-26%106

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 New Jersey?

Cigna ranks 2nd of 4 in New Jersey with an index of 104. It is highest on 24% of codes.

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

About 1% above.

Which procedure does Cigna pay most above market in New Jersey?

CPT 64566 (Neuroeltrd stim post tibial), at 254% of the New Jersey 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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