Cigna · Wisconsin · commercial in-network

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

Across 227 procedure codes for 8 specialties
Rate index vs state market
67
33% below the Wisconsin median
Rank in state
3 of 4
UHC 125 · BCBS 114 · Cigna 67 · Aetna 51
vs own national
108
Cigna's level vs its national median
Codes where highest
1%
of 227 codes
296 sampled providers232 TINs227 codesMedian 158% of Medicare · method

What the data shows

Generated from Wisconsin and Cigna data only
1

Cigna ranks 3rd of 4 payers in Wisconsin with a rate index of 67 (100 = the Wisconsin market median), across 227 procedure codes.

2

Cigna has the highest median for only 1% of codes in Wisconsin; UnitedHealthcare leads with an index of 125 in the files analyzed.

3

Cigna's Wisconsin rates sit 8% above its own national level, the 14th highest of its 51 states.

4

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

Rate index: 100 = the state four-payer median for the same codes
PayerIndexRankLevelHighest onProviders
UnitedHealthcare1251
125
57%610
Blue Cross Blue Shield1142
114
42%733
Cigna673
67
1%296
Aetna514
51
0%291

Where Cigna pays most and least against the Wisconsin market

Codes with the largest gap to the state median

Highest above market

CodeCignaMarketGapProv.
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

CodeCignaMarketGapProv.
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

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 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

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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