Cigna negotiated rates in Texas
How Cigna's Texas rates compare with the other three national payers, across the procedures that matter most to high-revenue specialties.
Cigna in Texas at a glance
What the data shows
Cigna ranks 2nd of 4 payers in Texas with a rate index of 108 (100 = the Texas market median), across 227 procedure codes.
Cigna has the highest median for only 11% of codes in Texas; UnitedHealthcare leads with an index of 124 in the files analyzed.
Cigna's Texas rates sit 13% below its own national level, the 42nd highest of its 51 states.
Largest premium over the Texas market: CPT 77080 (Dxa bone density axial) at 162% of market; largest discount: CPT 92012 (Intrm oph exam est patient) at 84%.
How the four payers compare in Texas
| Payer | Index | Rank | Level | Highest on | Providers |
|---|---|---|---|---|---|
| UnitedHealthcare | 124 | 1 | 81% | 824 | |
| Cigna | 108 | 2 | 11% | 822 | |
| Aetna | 95 | 3 | 5% | 764 | |
| Blue Cross Blue Shield | 88 | 4 | 4% | 1,003 |
Where Cigna pays most and least against the Texas market
Highest above market
| Code | Cigna | Market | Gap | Prov. |
|---|---|---|---|---|
| 77080 Dxa bone density axial | $70 | $43 | +62% | 87 |
| 70498 Ct angiography neck | $528 | $334 | +58% | 87 |
| 70496 Ct angiography head | $529 | $334 | +58% | 87 |
| 76641 Ultrasound breast complete | $164 | $109 | +50% | 87 |
| 71275 Ct angiography chest | $506 | $339 | +49% | 87 |
| 93971 Extremity study | $198 | $134 | +48% | 87 |
| 76536 Us exam of head and neck | $174 | $118 | +48% | 87 |
| 76642 Ultrasound breast limited | $136 | $92 | +48% | 87 |
Furthest below market
| Code | Cigna | Market | Gap | Prov. |
|---|---|---|---|---|
| 92012 Intrm oph exam est patient | $57 | $68 | -16% | 104 |
| 51700 Irrigation of bladder | $51 | $61 | -16% | 102 |
| 93297 Rem interrog dev eval icpms | $44 | $52 | -16% | 101 |
| 88305 Tissue exam by pathologist | $36 | $43 | -15% | 225 |
| 43235 Egd diagnostic brush wash | $197 | $230 | -15% | 113 |
| 92014 Compre oph exam est pt 1/> | $86 | $99 | -14% | 104 |
| 88342 Imhchem/imcytchm 1st antb | $55 | $63 | -13% | 118 |
| 67840 Remove eyelid lesion | $187 | $213 | -12% | 104 |
Where Cigna pays above and below its national level
Frequently asked questions
Does Cigna pay more or less than the other payers in Texas?
Cigna ranks 2nd of 4 in Texas with an index of 108. It is highest on 11% of codes.
Are Cigna's Texas rates above or below its national level?
About 13% below.
Which procedure does Cigna pay most above market in Texas?
CPT 77080 (Dxa bone density axial), at 162% of the Texas 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 Texas?
Compare your negotiated rates for these codes with Texas medians for each payer.