Cigna negotiated rates in South Dakota
How Cigna's South Dakota rates compare with the other three national payers, across the procedures that matter most to high-revenue specialties.
Cigna in South Dakota at a glance
What the data shows
Cigna ranks 2nd of 4 payers in South Dakota with a rate index of 103 (100 = the South Dakota market median), across 204 procedure codes.
Cigna has the highest median for only 41% of codes in South Dakota; UnitedHealthcare leads with an index of 104 in the files analyzed.
Cigna's South Dakota rates sit 41% above its own national level, the 3rd highest of its 51 states.
Largest premium over the South Dakota market: CPT 99454 (Rem mntr physiol param 16-30) at 144% of market; largest discount: CPT 99487 (Cplx chrnc care 1st 60 min) at 79%.
How the four payers compare in South Dakota
| Payer | Index | Rank | Level | Highest on | Providers |
|---|---|---|---|---|---|
| UnitedHealthcare | 104 | 1 | 43% | 316 | |
| Cigna | 103 | 2 | 41% | 286 | |
| Blue Cross Blue Shield | 100 | 3 | 20% | 457 | |
| Aetna | 51 | 4 | 0% | 147 |
Where Cigna pays most and least against the South Dakota market
Highest above market
| Code | Cigna | Market | Gap | Prov. |
|---|---|---|---|---|
| 99454 Rem mntr physiol param 16-30 | $116 | $80 | +44% | 88 |
| 65778 Cover eye w/membrane | $131 | $91 | +43% | 24 |
| 76512 Oph us dx b-scan | $139 | $103 | +35% | 24 |
| 52601 Prostatectomy (turp) | $1,710 | $1,287 | +33% | 25 |
| 72125 Ct neck spine w/o dye | $367 | $282 | +30% | 48 |
| 55866 Laps surg prst8ect rpbic rad | $3,388 | $2,603 | +30% | 25 |
| 92136 Ophthalmic biometry | $134 | $104 | +29% | 24 |
| 72131 Ct lumbar spine w/o dye | $360 | $280 | +28% | 48 |
Furthest below market
| Code | Cigna | Market | Gap | Prov. |
|---|---|---|---|---|
| 99487 Cplx chrnc care 1st 60 min | $100 | $126 | -21% | 65 |
| 93298 Rem interrog dev eval scrms | $52 | $60 | -14% | 23 |
| 93280 Pm device progr eval dual | $125 | $141 | -11% | 23 |
| 99212 Office o/p est sf 10 min | $48 | $53 | -9% | 286 |
| 99490 Chrnc care mgmt staff 1st 20 | $61 | $67 | -9% | 124 |
| 93229 Remote 30 day ecg tech supp | $1,324 | $1,435 | -8% | 23 |
| 90960 Esrd srv 4 visits p mo 20+ | $554 | $597 | -7% | 65 |
| 93297 Rem interrog dev eval icpms | $52 | $56 | -7% | 23 |
Where Cigna pays above and below its national level
Frequently asked questions
Does Cigna pay more or less than the other payers in South Dakota?
Cigna ranks 2nd of 4 in South Dakota with an index of 103. It is highest on 41% of codes.
Are Cigna's South Dakota rates above or below its national level?
About 41% above.
Which procedure does Cigna pay most above market in South Dakota?
CPT 99454 (Rem mntr physiol param 16-30), at 144% of the South 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 South Dakota?
Compare your negotiated rates for these codes with South Dakota medians for each payer.