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
What the data shows
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.
Cigna has the highest median for only 46% of codes in New York; UnitedHealthcare leads with an index of 128 in the files analyzed.
Cigna's New York rates sit 14% above its own national level, the 12th highest of its 51 states.
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
| Payer | Index | Rank | Level | Highest on | Providers |
|---|---|---|---|---|---|
| UnitedHealthcare | 128 | 1 | 41% | 801 | |
| Cigna | 120 | 2 | 46% | 672 | |
| Blue Cross Blue Shield | 97 | 3 | 8% | 898 | |
| Aetna | 83 | 4 | 5% | 755 |
Where Cigna pays most and least against the New York market
Highest above market
| Code | Cigna | Market | Gap | Prov. |
|---|---|---|---|---|
| 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
| Code | Cigna | Market | Gap | Prov. |
|---|---|---|---|---|
| 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
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'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
- 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 York?
Compare your negotiated rates for these codes with New York medians for each payer.