Cigna negotiated rates in Washington
How Cigna's Washington rates compare with the other three national payers, across the procedures that matter most to high-revenue specialties.
Cigna in Washington at a glance
What the data shows
Cigna ranks 2nd of 4 payers in Washington with a rate index of 99 (100 = the Washington market median), across 227 procedure codes.
Cigna has the highest median for only 13% of codes in Washington; UnitedHealthcare leads with an index of 106 in the files analyzed.
Cigna's Washington rates sit 28% above its own national level, the 10th highest of its 51 states.
Largest premium over the Washington market: CPT 93298 (Rem interrog dev eval scrms) at 223% of market; largest discount: CPT 67840 (Remove eyelid lesion) at 54%.
How the four payers compare in Washington
| Payer | Index | Rank | Level | Highest on | Providers |
|---|---|---|---|---|---|
| UnitedHealthcare | 106 | 1 | 60% | 695 | |
| Cigna | 99 | 2 | 13% | 749 | |
| Blue Cross Blue Shield | 98 | 3 | 8% | 799 | |
| Aetna | 91 | 4 | 19% | 708 |
Where Cigna pays most and least against the Washington market
Highest above market
| Code | Cigna | Market | Gap | Prov. |
|---|---|---|---|---|
| 93298 Rem interrog dev eval scrms | $160 | $72 | +123% | 96 |
| 76872 Us transrectal | $429 | $295 | +46% | 99 |
| 76512 Oph us dx b-scan | $89 | $66 | +36% | 101 |
| 70498 Ct angiography neck | $797 | $632 | +26% | 94 |
| 70496 Ct angiography head | $780 | $633 | +23% | 94 |
| 77280 Ther rad simulaj field smpl | $438 | $369 | +19% | 92 |
| 71045 X-ray exam chest 1 view | $54 | $46 | +17% | 94 |
| 75574 Ct angio hrt w/3d image | $743 | $642 | +16% | 96 |
Furthest below market
| Code | Cigna | Market | Gap | Prov. |
|---|---|---|---|---|
| 67840 Remove eyelid lesion | $207 | $383 | -46% | 101 |
| 88312 Special stains group 1 | $79 | $136 | -42% | 177 |
| 88313 Special stains group 2 | $58 | $99 | -42% | 86 |
| 51700 Irrigation of bladder | $63 | $98 | -36% | 99 |
| 92235 Fluorescein angrph mltiframe | $110 | $170 | -36% | 101 |
| 51702 Insert temp bladder cath | $53 | $81 | -35% | 99 |
| 52332 Cystoscopy and treatment | $328 | $495 | -34% | 99 |
| 52000 Cystourethroscopy | $169 | $252 | -33% | 99 |
Where Cigna pays above and below its national level
Frequently asked questions
Does Cigna pay more or less than the other payers in Washington?
Cigna ranks 2nd of 4 in Washington with an index of 99. It is highest on 13% of codes.
Are Cigna's Washington rates above or below its national level?
About 28% above.
Which procedure does Cigna pay most above market in Washington?
CPT 93298 (Rem interrog dev eval scrms), at 223% of the Washington 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 Washington?
Compare your negotiated rates for these codes with Washington medians for each payer.