Cigna negotiated rates in Ohio
How Cigna's Ohio rates compare with the other three national payers, across the procedures that matter most to high-revenue specialties.
Cigna in Ohio at a glance
What the data shows
Cigna ranks 3rd of 4 payers in Ohio with a rate index of 95 (100 = the Ohio market median), across 227 procedure codes.
Cigna has the highest median for only 5% of codes in Ohio; UnitedHealthcare leads with an index of 115 in the files analyzed.
Cigna's Ohio rates sit 6% below its own national level, the 36th highest of its 51 states.
Largest premium over the Ohio market: CPT 97110 (Therapeutic exercises) at 127% of market; largest discount: CPT 88305 (Tissue exam by pathologist) at 52%.
How the four payers compare in Ohio
| Payer | Index | Rank | Level | Highest on | Providers |
|---|---|---|---|---|---|
| UnitedHealthcare | 115 | 1 | 76% | 802 | |
| Blue Cross Blue Shield | 95 | 2 | 13% | 893 | |
| Cigna | 95 | 3 | 5% | 806 | |
| Aetna | 88 | 4 | 6% | 711 |
Where Cigna pays most and least against the Ohio market
Highest above market
| Code | Cigna | Market | Gap | Prov. |
|---|---|---|---|---|
| 97110 Therapeutic exercises | $38 | $30 | +27% | 96 |
| 92242 Fluorescein&icg angiography | $325 | $259 | +26% | 92 |
| 76872 Us transrectal | $231 | $186 | +24% | 95 |
| 75574 Ct angio hrt w/3d image | $568 | $467 | +22% | 106 |
| 92235 Fluorescein angrph mltiframe | $164 | $140 | +17% | 92 |
| 93229 Remote 30 day ecg tech supp | $1,152 | $993 | +16% | 100 |
| 93925 Lower extremity study | $416 | $366 | +14% | 106 |
| 92025 Cptrized corneal topography | $40 | $36 | +13% | 92 |
Furthest below market
| Code | Cigna | Market | Gap | Prov. |
|---|---|---|---|---|
| 88305 Tissue exam by pathologist | $41 | $78 | -48% | 207 |
| 67028 Injection eye drug | $110 | $181 | -39% | 92 |
| 88313 Special stains group 2 | $43 | $71 | -39% | 103 |
| 88312 Special stains group 1 | $54 | $83 | -35% | 207 |
| 88342 Imhchem/imcytchm 1st antb | $51 | $79 | -35% | 104 |
| 51720 Treatment of bladder lesion | $88 | $134 | -34% | 94 |
| 65778 Cover eye w/membrane | $53 | $77 | -32% | 81 |
| 51700 Irrigation of bladder | $63 | $92 | -32% | 94 |
Where Cigna pays above and below its national level
Frequently asked questions
Does Cigna pay more or less than the other payers in Ohio?
Cigna ranks 3rd of 4 in Ohio with an index of 95. It is highest on 5% of codes.
Are Cigna's Ohio rates above or below its national level?
About 6% below.
Which procedure does Cigna pay most above market in Ohio?
CPT 97110 (Therapeutic exercises), at 127% of the Ohio 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 Ohio?
Compare your negotiated rates for these codes with Ohio medians for each payer.