What does Cigna pay for CPT 99203 in Houston-Pasadena-The Woodlands, TX?

The local peer median for CPT 99203 under Cigna in Houston-Pasadena-The Woodlands, TX is $150, based on 26 indexed providers. Modeled from published rates, not guaranteed.

What is the top of the local market (P90) for CPT 99203 under Cigna in Houston-Pasadena-The Woodlands, TX?

The P90, the top of the local market and Reddenda's target rate, is $173.82.

How does Cigna's rate for CPT 99203 compare to Medicare?

The Cigna local median of $150 is 128% of Medicare's national non-facility rate of $117.57 for CPT 99203.

Reddenda · Rate Intelligence · Houston-Pasadena-The Woodlands, TX

99203 under Cigna in Houston-Pasadena-The Woodlands, TX

Name: Cigna rates for CPT 99203 in Houston-Pasadena-The Woodlands, TX
Creator: Reddenda

Office visit, new patient, 30-44 min · Local peer median $150 · High confidence

$150 local peer median. In the Houston-Pasadena-The Woodlands, TX market, Cigna pays a local peer median of $150 for CPT 99203 (Office visit, new patient, 30-44 min), based on 26 providers in Reddenda's index of Cigna's own published in-network rates. The top of the local market, the P90 target, is $173.82, 16% above the median. A provider billed below the local median is being paid less than peers holding the identical Cigna contract in Houston-Pasadena-The Woodlands, TX for the identical code. Modeled from published rates, not guaranteed.

Local distribution · 26 providers · 26 rate records

P10

$99.04

P25

$99.83

Median

$150

P75

$165

P90 (target)

$173.82

P10$99.04

P25$99.83

Median (P50)$150

P75$165

P90 target$173.82

Peer basis: local peer distribution: same CPT, same payer file, same metro (CBSA) Benchmark: local peer median; never a national average Range: $73.94 – $225

The local peer median for CPT 99203 under Cigna in Houston-Pasadena-The Woodlands, TX is $150, drawn from 26 distinct providers.Source: Cigna’s published machine-readable files
The bottom of the local market (P10) is $99.04 and the top (P90) is $173.82; the median-to-P90 spread is $23.82.Source: Cigna’s published machine-readable files
The lowest published rate in this market is $73.94; the highest is $225.Source: Cigna’s published machine-readable files
This benchmark is drawn from 26 individual rate records that Cigna itself published for this code in this metro.Source: Cigna’s published machine-readable files
Medicare's national non-facility rate for CPT 99203 is $117.57, making the Cigna local median 128% of Medicare.Source: Medicare Physician Fee Schedule; Cigna’s published machine-readable files
26.9% of indexed providers cluster at the single most common rate; the remainder shows a real, scoreable spread across the local market.Source: Cigna’s published machine-readable files
A federal No Surprises Act arbitrator may weigh up to four plan years of a provider's own contracted rate history and local market share when resolving a payment dispute over this exact code and payer.Source: 45 CFR §149.510(c)(4)(iii)(B)

26 providers bill this code to this payer in this metro.

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This is the local market for CPT 99203 (Office visit, new patient, 30-44 min) under Cigna in Houston-Pasadena-The Woodlands, TX. Enter your NPI to see your own contracted rate against this peer curve, per payer and per code. Free, about 15 seconds, no card and no PHI.

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Documented reimbursement opportunity, modeled from published rates and never a guaranteed outcome.

Modeled from Cigna's own published in-network rates, never guaranteed and never a national average. Peer basis: same CPT, same payer file, same metro (CBSA). Federal citation for the underlying obligation: Cigna’s published machine-readable files. Page generated 2026-08-23 22:48 UTC; the live index is queried in real time on every request.