State Payment Rates
State: California1 / 1
California Benchmarks
Payer means for DRG 470 in California range from $29K (Blue Cross Blue Shield) to $41K (Cigna), with most payers clustered in the low- to mid-$30K range. Cigna stands out as the most notable deviation above the national context, while BCBS sits below several state peers. See the table and chart below for payer-level distributions.
Key Insights for California
- Highest payer: Cigna (mean $41K); Lowest payer: BCBS (mean $29K).
- Aetna, Anthem, and UHC cluster near the low- to mid-$30K range, while Cigna is a notable high outlier versus other California payers.
- California’s payer means trend slightly above national means for several payers (Cigna and UHC), indicating modest upward deviation from national rates.
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.