Cigna negotiated rates in Utah
How Cigna's Utah rates compare with the other three national payers, across the procedures that matter most to high-revenue specialties.
Cigna in Utah at a glance
What the data shows
Cigna ranks 3rd of 4 payers in Utah with a rate index of 94 (100 = the Utah market median), across 227 procedure codes.
Cigna has the highest median for only 14% of codes in Utah; UnitedHealthcare leads with an index of 111 in the files analyzed.
Cigna's Utah rates sit 9% below its own national level, the 39th highest of its 51 states.
Largest premium over the Utah market: CPT 65778 (Cover eye w/membrane) at 160% of market; largest discount: CPT 88342 (Imhchem/imcytchm 1st antb) at 47%.
How the four payers compare in Utah
| Payer | Index | Rank | Level | Highest on | Providers |
|---|---|---|---|---|---|
| UnitedHealthcare | 111 | 1 | 48% | 649 | |
| Blue Cross Blue Shield | 99 | 2 | 22% | 667 | |
| Cigna | 94 | 3 | 14% | 751 | |
| Aetna | 90 | 4 | 16% | 418 |
Where Cigna pays most and least against the Utah market
Highest above market
| Code | Cigna | Market | Gap | Prov. |
|---|---|---|---|---|
| 65778 Cover eye w/membrane | $102 | $64 | +60% | 85 |
| 67028 Injection eye drug | $199 | $131 | +52% | 109 |
| 92133 Cptrzd oph dx img pst sgm on | $59 | $46 | +28% | 109 |
| 76512 Oph us dx b-scan | $89 | $72 | +23% | 109 |
| 93971 Extremity study | $189 | $160 | +18% | 109 |
| 92250 Fundus photography w/i&r | $68 | $58 | +18% | 109 |
| 13132 Cmplx rpr f/c/c/m/n/ax/g/h/f | $571 | $484 | +18% | 110 |
| 92136 Ophthalmic biometry | $87 | $74 | +18% | 109 |
Furthest below market
| Code | Cigna | Market | Gap | Prov. |
|---|---|---|---|---|
| 88342 Imhchem/imcytchm 1st antb | $50 | $106 | -53% | 110 |
| 88312 Special stains group 1 | $53 | $107 | -51% | 188 |
| 93298 Rem interrog dev eval scrms | $40 | $63 | -37% | 84 |
| 93297 Rem interrog dev eval icpms | $40 | $63 | -37% | 84 |
| 75574 Ct angio hrt w/3d image | $379 | $585 | -35% | 83 |
| 88305 Tissue exam by pathologist | $47 | $72 | -34% | 188 |
| 64566 Neuroeltrd stim post tibial | $51 | $76 | -33% | 71 |
| 51702 Insert temp bladder cath | $43 | $62 | -31% | 71 |
Where Cigna pays above and below its national level
Frequently asked questions
Does Cigna pay more or less than the other payers in Utah?
Cigna ranks 3rd of 4 in Utah with an index of 94. It is highest on 14% of codes.
Are Cigna's Utah rates above or below its national level?
About 9% below.
Which procedure does Cigna pay most above market in Utah?
CPT 65778 (Cover eye w/membrane), at 160% of the Utah 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 Utah?
Compare your negotiated rates for these codes with Utah medians for each payer.