Cigna negotiated rates in Wisconsin
How Cigna's Wisconsin rates compare with the other three national payers, across the procedures that matter most to high-revenue specialties.
Cigna in Wisconsin at a glance
What the data shows
Cigna ranks 3rd of 4 payers in Wisconsin with a rate index of 67 (100 = the Wisconsin market median), across 227 procedure codes.
Cigna has the highest median for only 1% of codes in Wisconsin; UnitedHealthcare leads with an index of 125 in the files analyzed.
Cigna's Wisconsin rates sit 8% above its own national level, the 14th highest of its 51 states.
Largest premium over the Wisconsin market: CPT 93298 (Rem interrog dev eval scrms) at 180% of market; largest discount: CPT 99454 (Rem mntr physiol param 16-30) at 38%.
How the four payers compare in Wisconsin
| Payer | Index | Rank | Level | Highest on | Providers |
|---|---|---|---|---|---|
| UnitedHealthcare | 125 | 1 | 57% | 610 | |
| Blue Cross Blue Shield | 114 | 2 | 42% | 733 | |
| Cigna | 67 | 3 | 1% | 296 | |
| Aetna | 51 | 4 | 0% | 291 |
Where Cigna pays most and least against the Wisconsin market
Highest above market
| Code | Cigna | Market | Gap | Prov. |
|---|---|---|---|---|
| 93298 Rem interrog dev eval scrms | $151 | $84 | +80% | 26 |
| 92235 Fluorescein angrph mltiframe | $284 | $223 | +27% | 50 |
| 92242 Fluorescein&icg angiography | $603 | $511 | +18% | 50 |
| 93297 Rem interrog dev eval icpms | $90 | $78 | +16% | 26 |
| 88305 Tissue exam by pathologist | $104 | $91 | +14% | 74 |
| 92201 Opscpy extnd rta draw uni/bi | $45 | $45 | +0% | 50 |
| 92083 Extended visual field xm | $126 | $126 | +0% | 50 |
| 65756 Corneal trnspl endothelial | $2,316 | $2,316 | +0% | 50 |
Furthest below market
| Code | Cigna | Market | Gap | Prov. |
|---|---|---|---|---|
| 99454 Rem mntr physiol param 16-30 | $49 | $130 | -62% | 51 |
| 88313 Special stains group 2 | $38 | $92 | -59% | 30 |
| 96372 Ther/proph/diag inj sc/im | $18 | $42 | -58% | 25 |
| 88312 Special stains group 1 | $55 | $129 | -58% | 74 |
| 52224 Cystoscopy and treatment | $350 | $800 | -56% | 40 |
| 51720 Treatment of bladder lesion | $75 | $167 | -55% | 40 |
| 52332 Cystoscopy and treatment | $261 | $576 | -55% | 40 |
| 51702 Insert temp bladder cath | $44 | $96 | -54% | 40 |
Where Cigna pays above and below its national level
Frequently asked questions
Does Cigna pay more or less than the other payers in Wisconsin?
Cigna ranks 3rd of 4 in Wisconsin with an index of 67. It is highest on 1% of codes.
Are Cigna's Wisconsin rates above or below its national level?
About 8% above.
Which procedure does Cigna pay most above market in Wisconsin?
CPT 93298 (Rem interrog dev eval scrms), at 180% of the Wisconsin 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 Wisconsin?
Compare your negotiated rates for these codes with Wisconsin medians for each payer.