Cigna negotiated rates in Rhode Island
How Cigna's Rhode Island rates compare with the other three national payers, across the procedures that matter most to high-revenue specialties.
Cigna in Rhode Island at a glance
What the data shows
Cigna ranks 2nd of 4 payers in Rhode Island with a rate index of 110 (100 = the Rhode Island market median), across 227 procedure codes.
Cigna has the highest median for only 26% of codes in Rhode Island; UnitedHealthcare leads with an index of 129 in the files analyzed.
Cigna's Rhode Island rates sit 7% above its own national level, the 16th highest of its 51 states.
Largest premium over the Rhode Island market: CPT 65820 (Goniotomy) at 156% of market; largest discount: CPT 88305 (Tissue exam by pathologist) at 50%.
How the four payers compare in Rhode Island
| Payer | Index | Rank | Level | Highest on | Providers |
|---|---|---|---|---|---|
| UnitedHealthcare | 129 | 1 | 60% | 468 | |
| Cigna | 110 | 2 | 26% | 562 | |
| Blue Cross Blue Shield | 90 | 3 | 1% | 581 | |
| Aetna | 87 | 4 | 12% | 422 |
Where Cigna pays most and least against the Rhode Island market
Highest above market
| Code | Cigna | Market | Gap | Prov. |
|---|---|---|---|---|
| 65820 Goniotomy | $1,512 | $970 | +56% | 55 |
| 96910 Photchmtx tar&uvb/ptrltm&uvb | $191 | $124 | +54% | 44 |
| 66821 After cataract laser surgery | $564 | $370 | +52% | 55 |
| 66991 Xcapsl ctrc rmvl insj 1+ | $1,229 | $808 | +52% | 55 |
| 65756 Corneal trnspl endothelial | $2,118 | $1,395 | +52% | 55 |
| 67036 Removal of inner eye fluid | $1,614 | $1,085 | +49% | 55 |
| 51728 Cystometrogram w/vp | $716 | $485 | +48% | 35 |
| 76872 Us transrectal | $310 | $212 | +46% | 35 |
Furthest below market
| Code | Cigna | Market | Gap | Prov. |
|---|---|---|---|---|
| 88305 Tissue exam by pathologist | $37 | $74 | -50% | 103 |
| 88312 Special stains group 1 | $60 | $103 | -42% | 103 |
| 88313 Special stains group 2 | $43 | $70 | -39% | 59 |
| 33361 Replace aortic valve perq | $1,347 | $1,727 | -22% | 84 |
| 96372 Ther/proph/diag inj sc/im | $20 | $25 | -22% | 85 |
| 33208 Insrt heart pm atrial & vent | $585 | $745 | -21% | 84 |
| 33285 Insj subq car rhythm mntr | $98 | $122 | -19% | 83 |
| 92020 Gonioscopy | $21 | $26 | -19% | 55 |
Where Cigna pays above and below its national level
Frequently asked questions
Does Cigna pay more or less than the other payers in Rhode Island?
Cigna ranks 2nd of 4 in Rhode Island with an index of 110. It is highest on 26% of codes.
Are Cigna's Rhode Island rates above or below its national level?
About 7% above.
Which procedure does Cigna pay most above market in Rhode Island?
CPT 65820 (Goniotomy), at 156% of the Rhode Island 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 Rhode Island?
Compare your negotiated rates for these codes with Rhode Island medians for each payer.