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
What the data shows
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.
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.
Cigna's North Dakota rates sit 1% below its own national level, the 29th highest of its 51 states.
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
| Payer | Index | Rank | Level | Highest on | Providers |
|---|---|---|---|---|---|
| Blue Cross Blue Shield | 111 | 1 | 68% | 329 | |
| UnitedHealthcare | 102 | 2 | 28% | 210 | |
| Cigna | 81 | 3 | 14% | 71 | |
| Aetna | 54 | 4 | 0% | 211 |
Where Cigna pays most and least against the North Dakota market
Highest above market
| Code | Cigna | Market | Gap | Prov. |
|---|---|---|---|---|
| 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
| Code | Cigna | Market | Gap | Prov. |
|---|---|---|---|---|
| 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
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
- 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 North Dakota?
Compare your negotiated rates for these codes with North Dakota medians for each payer.