Cigna · New York · commercial in-network

Cigna negotiated rates in New York

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

Cigna in New York at a glance

Across 228 procedure codes for 8 specialties
Rate index vs state market
120
20% above the New York median
Rank in state
2 of 4
UHC 128 · Cigna 120 · BCBS 97 · Aetna 83
vs own national
114
Cigna's level vs its national median
Codes where highest
46%
of 228 codes
672 sampled providers533 TINs228 codesMedian 189% of Medicare · method

What the data shows

Generated from New York and Cigna data only
1

Cigna ranks 2nd of 4 payers in New York with a rate index of 120 (100 = the New York market median), across 228 procedure codes.

2

Cigna has the highest median for only 46% of codes in New York; UnitedHealthcare leads with an index of 128 in the files analyzed.

3

Cigna's New York rates sit 14% above its own national level, the 12th highest of its 51 states.

4

Largest premium over the New York market: CPT 75574 (Ct angio hrt w/3d image) at 270% of market; largest discount: CPT 11104 (Punch bx skin single lesion) at 63%.

How the four payers compare in New York

Rate index: 100 = the state four-payer median for the same codes
PayerIndexRankLevelHighest onProviders
UnitedHealthcare1281
128
41%801
Cigna1202
120
46%672
Blue Cross Blue Shield973
97
8%898
Aetna834
83
5%755

Where Cigna pays most and least against the New York market

Codes with the largest gap to the state median

Highest above market

CodeCignaMarketGapProv.
75574
Ct angio hrt w/3d image
$982$364+170%18
74178
Ct abd&plv wo cntr flwd cntr
$1,008$459+119%93
51798
Us urine capacity measure
$49$23+116%15
73610
X-ray exam of ankle
$87$41+112%63
97110
Therapeutic exercises
$68$32+111%24
78452
Ht muscle image spect mult
$1,161$555+109%143
73030
X-ray exam of shoulder
$83$40+109%63
73564
X-ray exam knee 4 or more
$112$54+106%63

Furthest below market

CodeCignaMarketGapProv.
11104
Punch bx skin single lesion
$73$116-37%80
11102
Tangntl bx skin single les
$59$92-36%80
52224
Cystoscopy and treatment
$461$698-34%81
64566
Neuroeltrd stim post tibial
$72$110-34%85
11301
Shave skin lesion 0.6-1.0 cm
$77$110-30%81
43249
Esoph egd dilation <30 mm
$265$372-29%99
11302
Shave skin lesion 1.1-2.0 cm
$90$124-28%81
92012
Intrm oph exam est patient
$56$75-25%81

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 York?

Cigna ranks 2nd of 4 in New York with an index of 120. It is highest on 46% of codes.

Are Cigna&#39;s New York rates above or below its national level?

About 14% above.

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

CPT 75574 (Ct angio hrt w/3d image), at 270% of the New York 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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