Cigna · North Carolina · commercial in-network

Cigna negotiated rates in North Carolina

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

Cigna in North Carolina at a glance

Across 227 procedure codes for 8 specialties
Rate index vs state market
103
3% above the North Carolina median
Rank in state
2 of 4
UHC 111 · Cigna 103 · BCBS 100 · Aetna 64
vs own national
112
Cigna's level vs its national median
Codes where highest
31%
of 227 codes
851 sampled providers525 TINs227 codesMedian 192% of Medicare · method

What the data shows

Generated from North Carolina and Cigna data only
1

Cigna ranks 2nd of 4 payers in North Carolina with a rate index of 103 (100 = the North Carolina market median), across 227 procedure codes.

2

Cigna has the highest median for only 31% of codes in North Carolina; UnitedHealthcare leads with an index of 111 in the files analyzed.

3

Cigna's North Carolina rates sit 12% above its own national level, the 13th highest of its 51 states.

4

Largest premium over the North Carolina market: CPT 93229 (Remote 30 day ecg tech supp) at 152% of market; largest discount: CPT 11102 (Tangntl bx skin single les) at 60%.

How the four payers compare in North Carolina

Rate index: 100 = the state four-payer median for the same codes
PayerIndexRankLevelHighest onProviders
UnitedHealthcare1111
111
46%747
Cigna1032
103
31%851
Blue Cross Blue Shield1003
100
22%976
Aetna644
64
1%568

Where Cigna pays most and least against the North Carolina market

Codes with the largest gap to the state median

Highest above market

CodeCignaMarketGapProv.
93229
Remote 30 day ecg tech supp
$1,625$1,069+52%91
72158
Mri lumbar spine w/o & w/dye
$1,126$774+45%117
70553
Mri brain stem w/o & w/dye
$1,126$785+44%116
76872
Us transrectal
$252$189+33%98
76705
Echo exam of abdomen
$199$151+31%117
76512
Oph us dx b-scan
$104$79+31%92
76700
Us exam abdom complete
$266$203+31%117
77066
Dx mammo incl cad bi
$354$271+31%110

Furthest below market

CodeCignaMarketGapProv.
11102
Tangntl bx skin single les
$53$89-40%115
43239
Egd biopsy single/multiple
$290$476-39%102
11104
Punch bx skin single lesion
$67$108-38%115
51702
Insert temp bladder cath
$64$102-38%99
45384
Colonoscopy w/lesion removal
$460$718-36%102
43235
Egd diagnostic brush wash
$255$397-36%102
51700
Irrigation of bladder
$79$122-35%99
45380
Colonoscopy and biopsy
$426$639-33%102

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 North Carolina?

Cigna ranks 2nd of 4 in North Carolina with an index of 103. It is highest on 31% of codes.

Are Cigna's North Carolina rates above or below its national level?

About 12% above.

Which procedure does Cigna pay most above market in North Carolina?

CPT 93229 (Remote 30 day ecg tech supp), at 152% of the North Carolina 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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