Cigna

What does Cigna actually pay hospitals? We analyzed 1,000 negotiated rates from 10 hospitals across 4 states.

$180
Avg Negotiated Rate
1,000
Total Rates
67
Procedures Covered
10
Hospitals in Network
4
States

Is Cigna Expensive or Cheap?

Avg Rate
$180
Range: $0 - $559
vs All Payers Average
-98%
All-payer avg: $10,146
vs Medicare
0x Medicare
Medicare avg: $15,331

Based on our analysis of 1,000 negotiated rates, Cigna is significantly cheaper than average compared to other insurance companies in our database. They pay roughly the same or less than Medicare for equivalent services.

Top Procedures with Negotiated Rates

Procedures where Cigna has the most rate data

Code Description Rates Avg Rate Min Max
36415 HC VENIPUNCTURE 55 $19 $4 $81
85025 Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count 45 $27 $4 $188
97530 Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes 33 $89 $31 $255
80053 Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (8 32 $25 $6 $56
71045 HC XR CHEST 1 VIEW 30 $127 $32 $363
71046 HC XR CHEST 2 VIEWS 30 $139 $43 $363
73590 HC XR LEG TIBIA & FIBULA 2 VWS 30 $140 $45 $363
73060 HC XR HUMERUS MIN 2 VIEWS 30 $141 $45 $363
73030 HC RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS 30 $143 $47 $363
72100 HC XR SPINE LUMBAR 2- 3 VIEWS 30 $171 $53 $447
73562 HC XR KNEE 3 VIEWS 30 $156 $59 $363
72110 HC XR SPINE LUMBAR 4-5 VIEW 30 $191 $70 $447
97110 Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility 29 $113 $26 $255
97140 Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes 28 $105 $25 $255
97112 Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing act 28 $114 $29 $255
97162 Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o 27 $163 $86 $434
99281 HC ED LEVEL 1 22 $291 $83 $505
99214 OP VISIT LEVEL 4 EST 18 $228 $52 $468
25600 TREAT FRACTURE RADIUS/ULNA 17 $256 $0 $484
99203 OP VISIT LEVEL 3 NP 17 $225 $44 $434
97161 Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st 17 $112 $86 $255
97163 Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination 17 $115 $89 $255
12001 SIMP RP SCALPNECKAXILLAETRU 14 $230 $0 $484
12002 RPR S/N/AX/GEN/TRNK2.6-7.5CM 14 $230 $0 $484
12004 RPR S/N/AX/GEN/TRK7.6-12.5CM 14 $230 $0 $484

Hospitals with Cigna Rates

Hospitals where we have negotiated rate data for Cigna

Hospital State Rates Procedures Avg Rate Range
St. Luke's Sugar Land Hospital TX 239 61 $238 $5 - $559
CHI Memorial Hospital - Chattanooga TN 141 63 $192 $4 - $549
CHI Memorial Hospital - Georgia GA 140 62 $189 $4 - $508
HCA HEALTHONE AURORA CO 116 32 $184 $4 - $484
HCA HEALTHONE PRESBYTERIAN ST LUKES CO 81 26 $249 $5 - $476
CHI St. Luke's Health Brazosport TX 73 55 $180 $0 - $427
HCA HOUSTON HEALTHCARE MEDICAL CENTER TX 73 17 $62 $8 - $182
HCA HOUSTON HEALTHCARE CLEAR LAKE TX 68 17 $72 $9 - $182
HCA HOUSTON HEALTHCARE TOMBALL TX 63 15 $67 $8 - $182
CHI St. Luke's Health Springwood Village TX 6 6 $296 $225 - $407

About This Data

These rates are from hospital Machine-Readable Files (MRFs) required by the CMS Hospital Price Transparency Rule. They reflect specific hospital-payer contracts and may not represent your actual cost, which depends on your specific plan, deductible, copay, coinsurance, and network status. Data sources include CommonSpirit Health, HCA Healthcare, and Kaiser Permanente filings.

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