Cigna · Missouri · commercial in-network

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

Across 228 procedure codes for 8 specialties
Rate index vs state market
96
4% below the Missouri median
Rank in state
3 of 4
UHC 112 · BCBS 100 · Cigna 96 · Aetna 82
vs own national
87
Cigna's level vs its national median
Codes where highest
7%
of 228 codes
849 sampled providers569 TINs228 codesMedian 145% of Medicare · method

What the data shows

Generated from Missouri and Cigna data only
1

Cigna ranks 3rd of 4 payers in Missouri with a rate index of 96 (100 = the Missouri market median), across 228 procedure codes.

2

Cigna has the highest median for only 7% of codes in Missouri; UnitedHealthcare leads with an index of 112 in the files analyzed.

3

Cigna's Missouri rates sit 13% below its own national level, the 41st highest of its 51 states.

4

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

Rate index: 100 = the state four-payer median for the same codes
PayerIndexRankLevelHighest onProviders
UnitedHealthcare1121
112
67%821
Blue Cross Blue Shield1002
100
20%902
Cigna963
96
7%849
Aetna824
82
6%630

Where Cigna pays most and least against the Missouri market

Codes with the largest gap to the state median

Highest above market

CodeCignaMarketGapProv.
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

CodeCignaMarketGapProv.
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

Index vs the payer's own national median (100 = national)

Highest states

StateIndexProv.
Oregon152
735
Nebraska151
551
South Dakota141
286
Iowa141
604
Georgia136
829

Lowest states

StateIndexProv.
Alabama72
837
Florida75
775
Oklahoma80
748
Delaware82
392
Arizona82
698

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

How these numbers are calculated
  • 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.

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