Cigna · Virginia · commercial in-network

Cigna negotiated rates in Virginia

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

Cigna in Virginia at a glance

Across 227 procedure codes for 8 specialties
Rate index vs state market
102
2% above the Virginia median
Rank in state
2 of 4
UHC 116 · Cigna 102 · Aetna 93 · BCBS 87
vs own national
94
Cigna's level vs its national median
Codes where highest
20%
of 227 codes
787 sampled providers614 TINs227 codesMedian 149% of Medicare · method

What the data shows

Generated from Virginia and Cigna data only
1

Cigna ranks 2nd of 4 payers in Virginia with a rate index of 102 (100 = the Virginia market median), across 227 procedure codes.

2

Cigna has the highest median for only 20% of codes in Virginia; UnitedHealthcare leads with an index of 116 in the files analyzed.

3

Cigna's Virginia rates sit 6% below its own national level, the 35th highest of its 51 states.

4

Largest premium over the Virginia market: CPT 72158 (Mri lumbar spine w/o & w/dye) at 172% of market; largest discount: CPT 88342 (Imhchem/imcytchm 1st antb) at 72%.

How the four payers compare in Virginia

Rate index: 100 = the state four-payer median for the same codes
PayerIndexRankLevelHighest onProviders
UnitedHealthcare1161
116
64%733
Cigna1022
102
20%787
Aetna933
93
12%752
Blue Cross Blue Shield874
87
4%813

Where Cigna pays most and least against the Virginia market

Codes with the largest gap to the state median

Highest above market

CodeCignaMarketGapProv.
72158
Mri lumbar spine w/o & w/dye
$1,010$588+72%108
74183
Mri abd w/o cntr flwd cntr
$1,077$633+70%108
70553
Mri brain stem w/o & w/dye
$1,004$592+70%108
72197
Mri pelvis w/o & w/dye
$1,075$641+68%108
77080
Dxa bone density axial
$98$60+62%106
72131
Ct lumbar spine w/o dye
$383$241+59%108
72125
Ct neck spine w/o dye
$383$243+58%108
71250
Ct thorax dx c-
$383$248+54%108

Furthest below market

CodeCignaMarketGapProv.
88342
Imhchem/imcytchm 1st antb
$50$69-28%86
88305
Tissue exam by pathologist
$49$68-27%184
92134
Cptrz oph dx img pst sgm rta
$34$43-22%87
92012
Intrm oph exam est patient
$50$63-21%90
76512
Oph us dx b-scan
$42$53-20%90
92020
Gonioscopy
$20$24-18%90
67840
Remove eyelid lesion
$164$200-18%90
92133
Cptrzd oph dx img pst sgm on
$33$39-15%87

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 Virginia?

Cigna ranks 2nd of 4 in Virginia with an index of 102. It is highest on 20% of codes.

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

About 6% below.

Which procedure does Cigna pay most above market in Virginia?

CPT 72158 (Mri lumbar spine w/o & w/dye), at 172% of the Virginia 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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