What does Cigna pay for CPT 99203 in San Antonio-New Braunfels, TX?

The local peer median for CPT 99203 under Cigna in San Antonio-New Braunfels, TX is $135, based on 12 indexed providers. Modeled from published rates, not guaranteed.

What is the top of the local market (P90) for CPT 99203 under Cigna in San Antonio-New Braunfels, TX?

The P90, the top of the local market and Reddenda's target rate, is $254.40.

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

The Cigna local median of $135 is 115% of Medicare's national non-facility rate of $117.57 for CPT 99203.

Reddenda · Rate Intelligence · San Antonio-New Braunfels, TX

99203 under Cigna in San Antonio-New Braunfels, TX

Name: Cigna rates for CPT 99203 in San Antonio-New Braunfels, TX
Creator: Reddenda

Office visit, new patient, 30-44 min · Local peer median $135 · low

$135 local peer median. In the San Antonio-New Braunfels, TX market, Cigna pays a local peer median of $135 for CPT 99203 (Office visit, new patient, 30-44 min), based on 12 providers in Reddenda's index of Cigna's own published in-network rates. The top of the local market, the P90 target, is $254.40, 88% above the median. A provider billed below the local median is being paid less than peers holding the identical Cigna contract in San Antonio-New Braunfels, TX for the identical code. Modeled from published rates, not guaranteed.

Local distribution · 12 providers · 12 rate records

P10

$89.83

P25

$95.63

Median

$135

P75

$172.50

P90 (target)

$254.40

P10$89.83

P25$95.63

Median (P50)$135

P75$172.50

P90 target$254.40

Peer basis: local peer distribution: same CPT, same payer file, same metro (CBSA) Benchmark: local peer median; never a national average Range: $89.45 – $256

The local peer median for CPT 99203 under Cigna in San Antonio-New Braunfels, TX is $135, drawn from 12 distinct providers.Source: Cigna’s published machine-readable files
The bottom of the local market (P10) is $89.83 and the top (P90) is $254.40; the median-to-P90 spread is $119.40.Source: Cigna’s published machine-readable files
The lowest published rate in this market is $89.45; the highest is $256.Source: Cigna’s published machine-readable files
This benchmark is drawn from 12 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 115% of Medicare.Source: Medicare Physician Fee Schedule; Cigna’s published machine-readable files
16.7% 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)

12 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 San Antonio-New Braunfels, 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 22:47 UTC; the live index is queried in real time on every request.