🏥 Cigna Negotiated Rates

Cigna Negotiated Rates
via REST API

13 networks. 450M+ rate rows. Full OON coverage. Query Cigna rates by CPT code, NPI, or billing code. No ETL. No 200 GB JSON files.

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450M+
Rate Rows Indexed
900K+
Providers
12,000+
Billing Codes
Monthly
Refresh Cycle
Network Coverage

All Cigna Networks, Unified

Cigna publishes some of the most granular Machine-Readable Files of any major payer — 13 distinct networks including OAP, LocalPlus, SureFit, Connect, and dedicated OON files. PayerBenchmark indexes all of them, refreshed monthly.

OAP LocalPlus SureFit Connect Open Access Plus Voluntary OAP OAP In-Network LocalPlus In-Network Cigna Healthcare OON + 4 more
REST API

Query Cigna Rates in One Request

Filter by CPT code, NPI, network, and date range. Paginated JSON — no parsing multi-gigabyte files.

●●● GET /v1/rates 
GET https://api.payerbenchmark.com/v1/rates
  ?payer=Cigna
  &procedure_code=99213
  &npi=1234567890

// Response
{
  "data": [{
    "payer":          "Cigna",
    "network_key":    "OAP",
    "procedure_code": "99213",
    "negotiated_rate": 87.42,
    "rate_type":      "fee_for_service",
    "effective_date": "2025-01-01"
  }],
  "meta": { "total": 14, "page": 1, "per_page": 50 }
}
GET /v1/rates Negotiated rates for Cigna filtered by CPT, NPI, and network.
GET /v1/benchmarks Cross-payer p10–p90 percentiles. See where Cigna rates rank vs. market.
GET /v1/oon/rates Cigna out-of-network allowed amounts by NPI and procedure code.
FAQ

Cigna Rate Data — Common Questions

How many Cigna networks does PayerBenchmark cover?

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PayerBenchmark indexes all 13 Cigna networks published in CMS MRF files, including OAP, LocalPlus, SureFit, Connect, Open Access Plus, Voluntary OAP, and all OON files. New networks are added automatically on each monthly refresh.

Can I query Cigna rates by NPI or TIN?

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Yes. The /v1/rates endpoint accepts npi, tin, procedure_code, and network_key as filter parameters. You can retrieve every rate Cigna has published for a specific provider across all networks in a single API call.

How often is Cigna rate data refreshed?

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Cigna MRF files are ingested monthly following CMS publication cycles. PayerBenchmark uses a zero-downtime shadow-load process — new data is fully indexed before going live, so there are no stale reads during refresh.

Does the API include Cigna out-of-network rates?

+
Yes. PayerBenchmark includes Cigna's OON allowed-amount files via the /v1/oon/rates endpoint — billed charges, allowed amounts, and payment data by NPI and procedure code.

Start Querying Cigna Rates Today

API access to 450M+ rate rows across all Cigna networks. No ETL pipeline required.

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