Cigna · North Dakota · commercial in-network

Cigna negotiated rates in North Dakota

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

Cigna in North Dakota at a glance

Across 64 procedure codes for 8 specialties
Rate index vs state market
81
19% below the North Dakota median
Rank in state
3 of 4
BCBS 111 · UHC 102 · Cigna 81 · Aetna 54
vs own national
99
Cigna's level vs its national median
Codes where highest
14%
of 64 codes
71 sampled providers160 TINs64 codesMedian 151% of Medicare · method

What the data shows

Generated from North Dakota and Cigna data only
1

Cigna ranks 3rd of 4 payers in North Dakota with a rate index of 81 (100 = the North Dakota market median), across 64 procedure codes.

2

Cigna has the highest median for only 14% of codes in North Dakota; Blue Cross Blue Shield leads with an index of 111 in the files analyzed.

3

Cigna's North Dakota rates sit 1% below its own national level, the 29th highest of its 51 states.

4

Largest premium over the North Dakota market: CPT 72125 (Ct neck spine w/o dye) at 121% of market; largest discount: CPT 99487 (Cplx chrnc care 1st 60 min) at 49%.

How the four payers compare in North Dakota

Rate index: 100 = the state four-payer median for the same codes
PayerIndexRankLevelHighest onProviders
Blue Cross Blue Shield1111
111
68%329
UnitedHealthcare1022
102
28%210
Cigna813
81
14%71
Aetna544
54
0%211

Where Cigna pays most and least against the North Dakota market

Codes with the largest gap to the state median

Highest above market

CodeCignaMarketGapProv.
72125
Ct neck spine w/o dye
$321$265+21%22
72131
Ct lumbar spine w/o dye
$313$263+19%22
72197
Mri pelvis w/o & w/dye
$758$678+12%22
70551
Mri brain stem w/o dye
$443$396+12%22
74183
Mri abd w/o cntr flwd cntr
$761$681+12%22
70553
Mri brain stem w/o & w/dye
$718$642+12%22
72158
Mri lumbar spine w/o & w/dye
$720$645+12%22
71250
Ct thorax dx c-
$299$269+11%22

Furthest below market

CodeCignaMarketGapProv.
99487
Cplx chrnc care 1st 60 min
$100$204-51%23
99490
Chrnc care mgmt staff 1st 20
$56$92-39%36
71045
X-ray exam chest 1 view
$28$44-36%23
99495
Transj care mgmt mod f2f 14d
$204$314-35%23
73502
X-ray exam hip uni 2-3 views
$56$84-33%26
90960
Esrd srv 4 visits p mo 20+
$454$655-31%23
99457
Rpm tx mgmt 1st 20 min
$52$75-30%28
71046
X-ray exam chest 2 views
$40$57-30%23

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 Dakota?

Cigna ranks 3rd of 4 in North Dakota with an index of 81. It is highest on 14% of codes.

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

About 1% below.

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

CPT 72125 (Ct neck spine w/o dye), at 121% of the North Dakota 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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