Cigna · South Carolina · commercial in-network

Cigna negotiated rates in South Carolina

How Cigna's South Carolina rates compare with the other three national payers, across the procedures that matter most to high-revenue specialties.

Cigna in South Carolina at a glance

Across 227 procedure codes for 8 specialties
Rate index vs state market
100
0% above the South Carolina median
Rank in state
3 of 4
BCBS 116 · UHC 111 · Cigna 100 · Aetna 76
vs own national
90
Cigna's level vs its national median
Codes where highest
22%
of 227 codes
778 sampled providers484 TINs227 codesMedian 150% of Medicare · method

What the data shows

Generated from South Carolina and Cigna data only
1

Cigna ranks 3rd of 4 payers in South Carolina with a rate index of 100 (100 = the South Carolina market median), across 227 procedure codes.

2

Cigna has the highest median for only 22% of codes in South Carolina; Blue Cross Blue Shield leads with an index of 116 in the files analyzed.

3

Cigna's South Carolina rates sit 10% below its own national level, the 40th highest of its 51 states.

4

Largest premium over the South Carolina market: CPT 70498 (Ct angiography neck) at 175% of market; largest discount: CPT 52332 (Cystoscopy and treatment) at 64%.

How the four payers compare in South Carolina

Rate index: 100 = the state four-payer median for the same codes
PayerIndexRankLevelHighest onProviders
Blue Cross Blue Shield1161
116
48%311
UnitedHealthcare1112
111
31%733
Cigna1003
100
22%778
Aetna764
76
5%627

Where Cigna pays most and least against the South Carolina market

Codes with the largest gap to the state median

Highest above market

CodeCignaMarketGapProv.
70498
Ct angiography neck
$705$403+75%98
70496
Ct angiography head
$704$404+74%98
71275
Ct angiography chest
$695$411+69%98
70553
Mri brain stem w/o & w/dye
$829$533+56%98
74174
Cta abd&plvs w/contrast
$853$556+53%98
77080
Dxa bone density axial
$91$60+52%98
72158
Mri lumbar spine w/o & w/dye
$832$548+52%98
71260
Ct thorax dx c+
$427$283+51%98

Furthest below market

CodeCignaMarketGapProv.
52332
Cystoscopy and treatment
$238$372-36%92
64566
Neuroeltrd stim post tibial
$47$72-35%90
43235
Egd diagnostic brush wash
$196$291-33%102
92012
Intrm oph exam est patient
$41$61-32%92
67840
Remove eyelid lesion
$148$214-31%92
43248
Egd guide wire insertion
$256$369-31%102
43251
Egd remove lesion snare
$302$434-30%102
96910
Photchmtx tar&uvb/ptrltm&uvb
$74$106-30%98

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 South Carolina?

Cigna ranks 3rd of 4 in South Carolina with an index of 100. It is highest on 22% of codes.

Are Cigna's South Carolina rates above or below its national level?

About 10% below.

Which procedure does Cigna pay most above market in South Carolina?

CPT 70498 (Ct angiography neck), at 175% of the South Carolina 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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