What does Cigna pay for CPT 99222 in Raleigh-Cary, NC?

The local peer median for CPT 99222 under Cigna in Raleigh-Cary, NC is $130, based on 76 indexed providers. Modeled from published rates, not guaranteed.

What is the top of the local market (P90) for CPT 99222 under Cigna in Raleigh-Cary, NC?

The P90, the top of the local market and Reddenda's target rate, is $155.

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

The Cigna local median of $130 is 111% of Medicare's national non-facility rate of $116.90 for CPT 99222.

Reddenda · Rate Intelligence · Raleigh-Cary, NC

99222 under Cigna in Raleigh-Cary, NC

Name: Cigna rates for CPT 99222 in Raleigh-Cary, NC
Creator: Reddenda

Initial hospital care, moderate · Local peer median $130 · High confidence

$130 local peer median. In the Raleigh-Cary, NC market, Cigna pays a local peer median of $130 for CPT 99222 (Initial hospital care, moderate), based on 76 providers in Reddenda's index of Cigna's own published in-network rates. The top of the local market, the P90 target, is $155, 19% above the median. A provider billed below the local median is being paid less than peers holding the identical Cigna contract in Raleigh-Cary, NC for the identical code. Modeled from published rates, not guaranteed.

Local distribution · 76 providers · 76 rate records

P10

$109.33

P25

$116.88

Median

$130

P75

$135

P90 (target)

$155

P10$109.33

P25$116.88

Median (P50)$130

P75$135

P90 target$155

Peer basis: local peer distribution: same CPT, same payer file, same metro (CBSA) Benchmark: local peer median; never a national average Range: $109.33 – $176.64

The local peer median for CPT 99222 under Cigna in Raleigh-Cary, NC is $130, drawn from 76 distinct providers.Source: Cigna’s published machine-readable files
The bottom of the local market (P10) is $109.33 and the top (P90) is $155; the median-to-P90 spread is $25.Source: Cigna’s published machine-readable files
The lowest published rate in this market is $109.33; the highest is $176.64.Source: Cigna’s published machine-readable files
This benchmark is drawn from 76 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 111% of Medicare.Source: Medicare Physician Fee Schedule; Cigna’s published machine-readable files
21.1% 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)

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

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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 23:49 UTC; the live index is queried in real time on every request.