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
What the data shows
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.
Cigna has the highest median for only 30% of codes in West Virginia; UnitedHealthcare leads with an index of 130 in the files analyzed.
Cigna's West Virginia rates sit 1% below its own national level, the 28th highest of its 51 states.
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
| Payer | Index | Rank | Level | Highest on | Providers |
|---|---|---|---|---|---|
| UnitedHealthcare | 130 | 1 | 70% | 512 | |
| Cigna | 110 | 2 | 30% | 518 | |
| Blue Cross Blue Shield | 78 | 3 | 1% | 292 | |
| Aetna | 76 | 4 | 0% | 329 |
Where Cigna pays most and least against the West Virginia market
Highest above market
| Code | Cigna | Market | Gap | Prov. |
|---|---|---|---|---|
| 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
| Code | Cigna | Market | Gap | Prov. |
|---|---|---|---|---|
| 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
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
- 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 West Virginia?
Compare your negotiated rates for these codes with West Virginia medians for each payer.