What does Cigna pay for CPT 99222 in Riverside-San Bernardino-Ontario, CA?

The local peer median for CPT 99222 under Cigna in Riverside-San Bernardino-Ontario, CA is $130, based on 87 indexed providers. Modeled from published rates, not guaranteed.

What is the top of the local market (P90) for CPT 99222 under Cigna in Riverside-San Bernardino-Ontario, CA?

The P90, the top of the local market and Reddenda's target rate, is $182.

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 · Riverside-San Bernardino-Ontario, CA

99222 under Cigna in Riverside-San Bernardino-Ontario, CA

Name: Cigna rates for CPT 99222 in Riverside-San Bernardino-Ontario, CA
Creator: Reddenda

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

$130 local peer median. In the Riverside-San Bernardino-Ontario, CA market, Cigna pays a local peer median of $130 for CPT 99222 (Initial hospital care, moderate), based on 87 providers in Reddenda's index of Cigna's own published in-network rates. The top of the local market, the P90 target, is $182, 40% above the median. A provider billed below the local median is being paid less than peers holding the identical Cigna contract in Riverside-San Bernardino-Ontario, CA for the identical code. Modeled from published rates, not guaranteed.

Local distribution · 87 providers · 87 rate records

P10

$113.98

P25

$113.98

Median

$130

P75

$154

P90 (target)

$182

P10$113.98

P25$113.98

Median (P50)$130

P75$154

P90 target$182

Peer basis: local peer distribution: same CPT, same payer file, same metro (CBSA) Benchmark: local peer median; never a national average Range: $108.14 – $385

The local peer median for CPT 99222 under Cigna in Riverside-San Bernardino-Ontario, CA is $130, drawn from 87 distinct providers.Source: Cigna’s published machine-readable files
The bottom of the local market (P10) is $113.98 and the top (P90) is $182; the median-to-P90 spread is $52.Source: Cigna’s published machine-readable files
The lowest published rate in this market is $108.14; the highest is $385.Source: Cigna’s published machine-readable files
This benchmark is drawn from 87 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
29.9% 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)

87 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 Riverside-San Bernardino-Ontario, CA. 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 00:11 UTC; the live index is queried in real time on every request.