Cigna negotiated rates in New Mexico
How Cigna's New Mexico rates compare with the other three national payers, across the procedures that matter most to high-revenue specialties.
Cigna in New Mexico at a glance
What the data shows
Cigna ranks 2nd of 4 payers in New Mexico with a rate index of 112 (100 = the New Mexico market median), across 227 procedure codes.
Cigna has the highest median for only 20% of codes in New Mexico; UnitedHealthcare leads with an index of 132 in the files analyzed.
Cigna's New Mexico rates sit 5% above its own national level, the 19th highest of its 51 states.
Largest premium over the New Mexico market: CPT 77080 (Dxa bone density axial) at 224% of market; largest discount: CPT 64566 (Neuroeltrd stim post tibial) at 82%.
How the four payers compare in New Mexico
| Payer | Index | Rank | Level | Highest on | Providers |
|---|---|---|---|---|---|
| UnitedHealthcare | 132 | 1 | 78% | 471 | |
| Cigna | 112 | 2 | 20% | 464 | |
| Aetna | 94 | 3 | 2% | 406 | |
| Blue Cross Blue Shield | 74 | 4 | 0% | 562 |
Where Cigna pays most and least against the New Mexico market
Highest above market
| Code | Cigna | Market | Gap | Prov. |
|---|---|---|---|---|
| 77080 Dxa bone density axial | $121 | $54 | +124% | 106 |
| 76775 Us exam abdo back wall lim | $139 | $72 | +94% | 26 |
| 76857 Us exam pelvic limited | $114 | $59 | +94% | 26 |
| 76512 Oph us dx b-scan | $125 | $65 | +93% | 64 |
| 70498 Ct angiography neck | $751 | $405 | +85% | 106 |
| 92250 Fundus photography w/i&r | $99 | $54 | +82% | 64 |
| 70496 Ct angiography head | $739 | $405 | +82% | 106 |
| 88312 Special stains group 1 | $122 | $68 | +81% | 75 |
Furthest below market
| Code | Cigna | Market | Gap | Prov. |
|---|---|---|---|---|
| 64566 Neuroeltrd stim post tibial | $56 | $68 | -18% | 26 |
| 52224 Cystoscopy and treatment | $319 | $371 | -14% | 26 |
| 67840 Remove eyelid lesion | $212 | $244 | -13% | 64 |
| 92012 Intrm oph exam est patient | $70 | $76 | -8% | 64 |
| 43239 Egd biopsy single/multiple | $251 | $271 | -7% | 46 |
| 68761 Close tear duct opening | $157 | $170 | -7% | 64 |
| 67904 Repair eyelid defect | $807 | $864 | -7% | 64 |
| 77280 Ther rad simulaj field smpl | $249 | $266 | -6% | 29 |
Where Cigna pays above and below its national level
Frequently asked questions
Does Cigna pay more or less than the other payers in New Mexico?
Cigna ranks 2nd of 4 in New Mexico with an index of 112. It is highest on 20% of codes.
Are Cigna's New Mexico rates above or below its national level?
About 5% above.
Which procedure does Cigna pay most above market in New Mexico?
CPT 77080 (Dxa bone density axial), at 224% of the New Mexico 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 Mexico?
Compare your negotiated rates for these codes with New Mexico medians for each payer.