What does Cigna pay for CPT 99222 in Washington-Arlington-Alexandria, DC-VA-MD-WV?

The local peer median for CPT 99222 under Cigna in Washington-Arlington-Alexandria, DC-VA-MD-WV is $158.34, based on 388 indexed providers. Modeled from published rates, not guaranteed.

What is the top of the local market (P90) for CPT 99222 under Cigna in Washington-Arlington-Alexandria, DC-VA-MD-WV?

The P90, the top of the local market and Reddenda's target rate, is $202.

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

The Cigna local median of $158.34 is 135% of Medicare's national non-facility rate of $116.90 for CPT 99222.

Reddenda · Rate Intelligence · Washington-Arlington-Alexandria, DC-VA-MD-WV

99222 under Cigna in Washington-Arlington-Alexandria, DC-VA-MD-WV

Name: Cigna rates for CPT 99222 in Washington-Arlington-Alexandria, DC-VA-MD-WV
Creator: Reddenda

Initial hospital care, moderate · Local peer median $158.34 · High confidence

$158.34 local peer median. In the Washington-Arlington-Alexandria, DC-VA-MD-WV market, Cigna pays a local peer median of $158.34 for CPT 99222 (Initial hospital care, moderate), based on 388 providers in Reddenda's index of Cigna's own published in-network rates. The top of the local market, the P90 target, is $202, 28% above the median. A provider billed below the local median is being paid less than peers holding the identical Cigna contract in Washington-Arlington-Alexandria, DC-VA-MD-WV for the identical code. Modeled from published rates, not guaranteed.

Local distribution · 388 providers · 388 rate records

P10

$112.94

P25

$140

Median

$158.34

P75

$173.04

P90 (target)

$202

P10$112.94

P25$140

Median (P50)$158.34

P75$173.04

P90 target$202

Peer basis: local peer distribution: same CPT, same payer file, same metro (CBSA) Benchmark: local peer median; never a national average Range: $101 – $272

The local peer median for CPT 99222 under Cigna in Washington-Arlington-Alexandria, DC-VA-MD-WV is $158.34, drawn from 388 distinct providers.Source: Cigna’s published machine-readable files
The bottom of the local market (P10) is $112.94 and the top (P90) is $202; the median-to-P90 spread is $43.66.Source: Cigna’s published machine-readable files
The lowest published rate in this market is $101; the highest is $272.Source: Cigna’s published machine-readable files
This benchmark is drawn from 388 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 135% of Medicare.Source: Medicare Physician Fee Schedule; Cigna’s published machine-readable files
25.3% 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)

388 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 Washington-Arlington-Alexandria, DC-VA-MD-WV. 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 22:51 UTC; the live index is queried in real time on every request.