Cigna negotiated rates in Missouri
How Cigna's Missouri rates compare with the other three national payers, across the procedures that matter most to high-revenue specialties.
Cigna in Missouri at a glance
What the data shows
Cigna ranks 3rd of 4 payers in Missouri with a rate index of 96 (100 = the Missouri market median), across 228 procedure codes.
Cigna has the highest median for only 7% of codes in Missouri; UnitedHealthcare leads with an index of 112 in the files analyzed.
Cigna's Missouri rates sit 13% below its own national level, the 41st highest of its 51 states.
Largest premium over the Missouri market: CPT 51798 (Us urine capacity measure) at 296% of market; largest discount: CPT 88305 (Tissue exam by pathologist) at 51%.
How the four payers compare in Missouri
| Payer | Index | Rank | Level | Highest on | Providers |
|---|---|---|---|---|---|
| UnitedHealthcare | 112 | 1 | 67% | 821 | |
| Blue Cross Blue Shield | 100 | 2 | 20% | 902 | |
| Cigna | 96 | 3 | 7% | 849 | |
| Aetna | 82 | 4 | 6% | 630 |
Where Cigna pays most and least against the Missouri market
Highest above market
| Code | Cigna | Market | Gap | Prov. |
|---|---|---|---|---|
| 51798 Us urine capacity measure | $62 | $21 | +196% | 24 |
| 92235 Fluorescein angrph mltiframe | $156 | $129 | +20% | 92 |
| 93297 Rem interrog dev eval icpms | $54 | $45 | +18% | 105 |
| 99490 Chrnc care mgmt staff 1st 20 | $61 | $52 | +18% | 437 |
| 93296 Rem interrog evl pm/ids | $43 | $38 | +14% | 105 |
| 76856 Us exam pelvic complete | $147 | $130 | +14% | 109 |
| 96372 Ther/proph/diag inj sc/im | $25 | $22 | +13% | 102 |
| 93298 Rem interrog dev eval scrms | $57 | $51 | +12% | 105 |
Furthest below market
| Code | Cigna | Market | Gap | Prov. |
|---|---|---|---|---|
| 88305 Tissue exam by pathologist | $35 | $68 | -49% | 223 |
| 88342 Imhchem/imcytchm 1st antb | $51 | $93 | -45% | 104 |
| 88313 Special stains group 2 | $40 | $71 | -44% | 120 |
| 88312 Special stains group 1 | $54 | $94 | -42% | 224 |
| 51702 Insert temp bladder cath | $44 | $65 | -33% | 101 |
| 11302 Shave skin lesion 1.1-2.0 cm | $71 | $106 | -33% | 103 |
| 11301 Shave skin lesion 0.6-1.0 cm | $61 | $87 | -30% | 103 |
| 43255 Egd control bleeding any | $373 | $529 | -30% | 121 |
Where Cigna pays above and below its national level
Frequently asked questions
Does Cigna pay more or less than the other payers in Missouri?
Cigna ranks 3rd of 4 in Missouri with an index of 96. It is highest on 7% of codes.
Are Cigna's Missouri rates above or below its national level?
About 13% below.
Which procedure does Cigna pay most above market in Missouri?
CPT 51798 (Us urine capacity measure), at 296% of the Missouri 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 Missouri?
Compare your negotiated rates for these codes with Missouri medians for each payer.