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