Cigna · Rhode Island · commercial in-network

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

Across 227 procedure codes for 8 specialties
Rate index vs state market
110
10% above the Rhode Island median
Rank in state
2 of 4
UHC 129 · Cigna 110 · BCBS 90 · Aetna 87
vs own national
107
Cigna's level vs its national median
Codes where highest
26%
of 227 codes
562 sampled providers310 TINs227 codesMedian 166% of Medicare · method

What the data shows

Generated from Rhode Island and Cigna data only
1

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.

2

Cigna has the highest median for only 26% of codes in Rhode Island; UnitedHealthcare leads with an index of 129 in the files analyzed.

3

Cigna's Rhode Island rates sit 7% above its own national level, the 16th highest of its 51 states.

4

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

Rate index: 100 = the state four-payer median for the same codes
PayerIndexRankLevelHighest onProviders
UnitedHealthcare1291
129
60%468
Cigna1102
110
26%562
Blue Cross Blue Shield903
90
1%581
Aetna874
87
12%422

Where Cigna pays most and least against the Rhode Island market

Codes with the largest gap to the state median

Highest above market

CodeCignaMarketGapProv.
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

CodeCignaMarketGapProv.
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

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 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

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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