Cigna negotiated rates in Vermont
How Cigna's Vermont rates compare with the other three national payers, across the procedures that matter most to high-revenue specialties.
Cigna in Vermont at a glance
What the data shows
Cigna ranks 2nd of 4 payers in Vermont with a rate index of 109 (100 = the Vermont market median), across 220 procedure codes.
Cigna has the highest median for only 18% of codes in Vermont; UnitedHealthcare leads with an index of 142 in the files analyzed.
Cigna's Vermont rates sit 15% above its own national level, the 11th highest of its 51 states.
Largest premium over the Vermont market: CPT 76872 (Us transrectal) at 185% of market; largest discount: CPT 64566 (Neuroeltrd stim post tibial) at 48%.
How the four payers compare in Vermont
| Payer | Index | Rank | Level | Highest on | Providers |
|---|---|---|---|---|---|
| UnitedHealthcare | 142 | 1 | 79% | 279 | |
| Cigna | 109 | 2 | 18% | 302 | |
| Blue Cross Blue Shield | 89 | 3 | 4% | 312 | |
| Aetna | 74 | 4 | 0% | 279 |
Where Cigna pays most and least against the Vermont market
Highest above market
| Code | Cigna | Market | Gap | Prov. |
|---|---|---|---|---|
| 76872 Us transrectal | $358 | $194 | +85% | 28 |
| 75574 Ct angio hrt w/3d image | $816 | $493 | +66% | 23 |
| 76856 Us exam pelvic complete | $239 | $149 | +60% | 28 |
| 93280 Pm device progr eval dual | $163 | $102 | +59% | 23 |
| 93458 L hrt artery/ventricle angio | $2,425 | $1,523 | +59% | 23 |
| 72158 Mri lumbar spine w/o & w/dye | $832 | $522 | +59% | 56 |
| 70498 Ct angiography neck | $671 | $422 | +59% | 56 |
| 70496 Ct angiography head | $672 | $422 | +59% | 56 |
Furthest below market
| Code | Cigna | Market | Gap | Prov. |
|---|---|---|---|---|
| 64566 Neuroeltrd stim post tibial | $50 | $103 | -52% | 19 |
| 43235 Egd diagnostic brush wash | $251 | $400 | -37% | 20 |
| 92136 Ophthalmic biometry | $56 | $85 | -34% | 31 |
| 11102 Tangntl bx skin single les | $60 | $90 | -33% | 17 |
| 92250 Fundus photography w/i&r | $44 | $64 | -32% | 31 |
| 45384 Colonoscopy w/lesion removal | $466 | $675 | -31% | 20 |
| 11104 Punch bx skin single lesion | $75 | $108 | -31% | 17 |
| 63047 Lam facetec & foramot lumbar | $1,554 | $2,191 | -29% | 34 |
Where Cigna pays above and below its national level
Frequently asked questions
Does Cigna pay more or less than the other payers in Vermont?
Cigna ranks 2nd of 4 in Vermont with an index of 109. It is highest on 18% of codes.
Are Cigna's Vermont rates above or below its national level?
About 15% above.
Which procedure does Cigna pay most above market in Vermont?
CPT 76872 (Us transrectal), at 185% of the Vermont 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 Vermont?
Compare your negotiated rates for these codes with Vermont medians for each payer.