Reddenda · Rate Intelligence · New York-Newark-Jersey City, NY-NJ

99222 under Cigna in New York-Newark-Jersey City, NY-NJ

Initial hospital care, moderate · Local peer median $135 · High confidence

• The local peer median for CPT 99222 under Cigna in New York-Newark-Jersey City, NY-NJ is $135, drawn from 975 distinct providers.Source: Cigna’s published machine-readable files
• The bottom of the local market (P10) is $119.66 and the top (P90) is $246.57; the median-to-P90 spread is $111.57.Source: Cigna’s published machine-readable files
• The lowest published rate in this market is $88; the highest is $457.43.Source: Cigna’s published machine-readable files
• This benchmark is drawn from 975 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 115% of Medicare.Source: Medicare Physician Fee Schedule; Cigna’s published machine-readable files
• 14.5% 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)

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 22:31 UTC; the live index is queried in real time on every request.