Cigna · New Mexico · commercial in-network

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

Across 227 procedure codes for 8 specialties
Rate index vs state market
112
12% above the New Mexico median
Rank in state
2 of 4
UHC 132 · Cigna 112 · Aetna 94 · BCBS 74
vs own national
105
Cigna's level vs its national median
Codes where highest
20%
of 227 codes
464 sampled providers357 TINs227 codesMedian 168% of Medicare · method

What the data shows

Generated from New Mexico and Cigna data only
1

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.

2

Cigna has the highest median for only 20% of codes in New Mexico; UnitedHealthcare leads with an index of 132 in the files analyzed.

3

Cigna's New Mexico rates sit 5% above its own national level, the 19th highest of its 51 states.

4

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

Rate index: 100 = the state four-payer median for the same codes
PayerIndexRankLevelHighest onProviders
UnitedHealthcare1321
132
78%471
Cigna1122
112
20%464
Aetna943
94
2%406
Blue Cross Blue Shield744
74
0%562

Where Cigna pays most and least against the New Mexico market

Codes with the largest gap to the state median

Highest above market

CodeCignaMarketGapProv.
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

CodeCignaMarketGapProv.
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

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 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

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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