Rate benchmarks · Cigna
What does Cigna pay?
Cigna Healthcare is a national commercial health insurer covering employer-sponsored and individual plans across the United States. Under the federal Transparency in Coverage rule, Cigna publishes the rates it has negotiated with providers in machine-readable files. We normalize those disclosures into clean, comparable per-procedure benchmarks — median, range, and percent of Medicare, split by office and facility setting.
Negotiating with Cigna? Read the guide →
Cigna benchmarks by CPT code
- CPT 99203New patient office visit, level 3
- CPT 99204New patient office visit, level 4
- CPT 99213Established patient office visit, level 3
- CPT 99214Established patient office visit, level 4
Paid at, above, or below the Cigna benchmark?
EarnestMD resolves your own providers and shows where your contracts stand against comparable practices — and builds the case for the increase.
Source: Cigna Transparency in Coverage machine-readable files. Aggregate benchmarks only; no individual practice or contract is identified. EarnestMD is independent and not affiliated with Cigna or any insurer.