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
What the data shows
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.
Cigna has the highest median for only 24% of codes in New Jersey; UnitedHealthcare leads with an index of 109 in the files analyzed.
Cigna's New Jersey rates sit 1% above its own national level, the 21st highest of its 51 states.
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
| Payer | Index | Rank | Level | Highest on | Providers |
|---|---|---|---|---|---|
| UnitedHealthcare | 109 | 1 | 43% | 724 | |
| Cigna | 104 | 2 | 24% | 795 | |
| Blue Cross Blue Shield | 101 | 3 | 27% | 787 | |
| Aetna | 82 | 4 | 7% | 807 |
Where Cigna pays most and least against the New Jersey market
Highest above market
| Code | Cigna | Market | Gap | Prov. |
|---|---|---|---|---|
| 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
| Code | Cigna | Market | Gap | Prov. |
|---|---|---|---|---|
| 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
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
- 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 New Jersey?
Compare your negotiated rates for these codes with New Jersey medians for each payer.