What does Cigna pay for CPT 99222 in Fort Collins-Loveland, CO?

The local peer median for CPT 99222 under Cigna in Fort Collins-Loveland, CO is $138, based on 20 indexed providers. Modeled from published rates, not guaranteed.

What is the top of the local market (P90) for CPT 99222 under Cigna in Fort Collins-Loveland, CO?

The P90, the top of the local market and Reddenda's target rate, is $186.97.

How does Cigna's rate for CPT 99222 compare to Medicare?

The Cigna local median of $138 is 118% of Medicare's national non-facility rate of $116.90 for CPT 99222.

Reddenda · Rate Intelligence · Fort Collins-Loveland, CO

99222 under Cigna in Fort Collins-Loveland, CO

Name: Cigna rates for CPT 99222 in Fort Collins-Loveland, CO
Creator: Reddenda

Initial hospital care, moderate · Local peer median $138 · Medium confidence

$138 local peer median. In the Fort Collins-Loveland, CO market, Cigna pays a local peer median of $138 for CPT 99222 (Initial hospital care, moderate), based on 20 providers in Reddenda's index of Cigna's own published in-network rates. The top of the local market, the P90 target, is $186.97, 35% above the median. A provider billed below the local median is being paid less than peers holding the identical Cigna contract in Fort Collins-Loveland, CO for the identical code. Modeled from published rates, not guaranteed.

Local distribution · 20 providers · 20 rate records

P10

$110.71

P25

$124.75

Median

$138

P75

$151.55

P90 (target)

$186.97

P10$110.71

P25$124.75

Median (P50)$138

P75$151.55

P90 target$186.97

Peer basis: local peer distribution: same CPT, same payer file, same metro (CBSA) Benchmark: local peer median; never a national average Range: $94 – $246.57

The local peer median for CPT 99222 under Cigna in Fort Collins-Loveland, CO is $138, drawn from 20 distinct providers.Source: Cigna’s published machine-readable files
The bottom of the local market (P10) is $110.71 and the top (P90) is $186.97; the median-to-P90 spread is $48.97.Source: Cigna’s published machine-readable files
The lowest published rate in this market is $94; the highest is $246.57.Source: Cigna’s published machine-readable files
This benchmark is drawn from 20 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 99222 is $116.90, making the Cigna local median 118% of Medicare.Source: Medicare Physician Fee Schedule; Cigna’s published machine-readable files
25% 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)

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

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This is the local market for CPT 99222 (Initial hospital care, moderate) under Cigna in Fort Collins-Loveland, CO. 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 2026-08-24 01:57 UTC; the live index is queried in real time on every request.