What the Cigna / MultiPlan data says
The Cigna / MultiPlan page is built for provider and RCM teams comparing out-of-network payment behavior under the No Surprises Act. A payer average can hide large swings by state and service code, so the tables focus on the combinations most likely to affect a claim file.
Use this page as a screen: if your disputed claims share the same payer, state, and code mix, the benchmark can tell you whether a deeper audit is worth time.
Top Cigna / MultiPlan service codes
| Code | Service | Disputes | Provider win rate | Median award |
|---|---|---|---|---|
| 99284 | Emergency department visit for the evaluation and management of a patient, which... | 43,326 | 77.6% | 4.9x |
| 99285 | Emergency department visit, high severity, requiring urgent evaluation | 30,682 | 80.6% | 4.1x |
| 99283 | Emergency department visit for the evaluation and management of a patient.... | 15,326 | 72.2% | 5.3x |
| 85025 | Complete blood count (CBC) with automated differential | 8,414 | 75% | 3.5x |
| 74177 | CT scan of the abdomen and pelvis with IV contrast | 7,010 | 82.7% | 10.9x |
| 80053 | Comprehensive metabolic panel (14 blood chemistry tests) | 6,730 | 74.3% | 3.6x |
| 70450 | CT scan of the head/brain without contrast | 5,309 | 84.8% | 8.8x |
| 77067 | Screening mammography, bilateral | 5,215 | 97.5% | 5.1x |
Top states for Cigna / MultiPlan disputes
Frequent filing representatives
| Representative domain | Disputes | Provider win rate |
|---|---|---|
| halomd.com | 36,808 | 77.8% |
| usap.com | 27,899 | 83.4% |
| saparm.com | 23,273 | 95.7% |
| agshealth.com | 15,457 | 87.2% |
| scp-health.com | 14,628 | 88.5% |
| gottliebandgreenspan.com | 11,629 | 80.5% |
| fam-llc.com | 8,165 | 61.8% |
Benchmark your Cigna / MultiPlan claims
If Cigna / MultiPlan is a meaningful payer in your out-of-network book, compare your payment and denial patterns against the CMS benchmark before expanding IDR operations.
FAQ
How many Cigna / MultiPlan federal IDR disputes are in the dataset?
This benchmark shows 221,077 Cigna / MultiPlan disputes tied to multiplan.com.
What is the provider win rate against Cigna / MultiPlan?
The non-default provider win rate is 81.3% in this payer slice.
Why does Cigna / MultiPlan need state and code filtering?
Federal IDR outcomes vary by state, service line, and code mix. A payer-level average is a starting point, not the full answer.
Related benchmarks
Sources and method
- CMS: Federal IDR reports and public use files
- CMS: About Independent Dispute Resolution
- CMS: Federal IDR timeline for claims
Data source: CMS Federal IDR public use files, coverage through 2025Q4; data build 2026-09-21. Counts are CMS dispute counts unless a table says line items. Win rates labeled non-default exclude payer no-show defaults. Award multiples are medians versus QPA. Dollar figures, where shown, are anchored estimates from CMS QPA-and-offer fields, not payment records. This page is informational, not legal or reimbursement advice.