Cigna · West Virginia · commercial in-network

Cigna negotiated rates in West Virginia

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

Cigna in West Virginia at a glance

Across 227 procedure codes for 8 specialties
Rate index vs state market
110
10% above the West Virginia median
Rank in state
2 of 4
UHC 130 · Cigna 110 · BCBS 78 · Aetna 76
vs own national
99
Cigna's level vs its national median
Codes where highest
30%
of 227 codes
518 sampled providers296 TINs227 codesMedian 159% of Medicare · method

What the data shows

Generated from West Virginia and Cigna data only
1

Cigna ranks 2nd of 4 payers in West Virginia with a rate index of 110 (100 = the West Virginia market median), across 227 procedure codes.

2

Cigna has the highest median for only 30% of codes in West Virginia; UnitedHealthcare leads with an index of 130 in the files analyzed.

3

Cigna's West Virginia rates sit 1% below its own national level, the 28th highest of its 51 states.

4

Largest premium over the West Virginia market: CPT 93298 (Rem interrog dev eval scrms) at 189% of market; largest discount: CPT 88313 (Special stains group 2) at 52%.

How the four payers compare in West Virginia

Rate index: 100 = the state four-payer median for the same codes
PayerIndexRankLevelHighest onProviders
UnitedHealthcare1301
130
70%512
Cigna1102
110
30%518
Blue Cross Blue Shield783
78
1%292
Aetna764
76
0%329

Where Cigna pays most and least against the West Virginia market

Codes with the largest gap to the state median

Highest above market

CodeCignaMarketGapProv.
93298
Rem interrog dev eval scrms
$130$69+89%71
76705
Echo exam of abdomen
$219$126+74%100
76536
Us exam of head and neck
$273$158+73%100
76700
Us exam abdom complete
$291$171+70%100
76770
Us exam abdo back wall comp
$252$154+63%142
17000
Destruct premalg lesion
$106$66+59%27
17110
Destruction b9 les up to 14
$141$89+59%27
73502
X-ray exam hip uni 2-3 views
$96$61+57%177

Furthest below market

CodeCignaMarketGapProv.
88313
Special stains group 2
$36$70-48%41
88312
Special stains group 1
$51$83-38%68
88305
Tissue exam by pathologist
$50$74-33%68
43239
Egd biopsy single/multiple
$226$303-26%41
92012
Intrm oph exam est patient
$47$63-25%62
43235
Egd diagnostic brush wash
$190$251-24%41
92020
Gonioscopy
$19$24-21%63
45388
Colonoscopy w/ablation
$405$512-21%41

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 West Virginia?

Cigna ranks 2nd of 4 in West Virginia with an index of 110. It is highest on 30% of codes.

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

About 1% below.

Which procedure does Cigna pay most above market in West Virginia?

CPT 93298 (Rem interrog dev eval scrms), at 189% of the West 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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