SPECIAL NOTE to patients with CIGNA INSURANCE.

After years of having an allowable rate of $461.09, a CIGNA officer finally raised their allowable for vasectomy through our office to $554.64, effective August 15, 2023 (agreement HERE), and this is what Cigna patients paid at the time of service, with allowables (per responses to claim forms) ranging from $438.28 to $693.93. (This was much more variability than we saw with other insurers like Blue Cross and United HealthCare.) Then, on April 22, 2024, that Cigna office notified us that she had made a mistake, that the allowable was actually $462.62. So the allowable really had NOT changed in over 10 years, but she said on May 13 that we really should be billing for a same-day consultation visit. So, as of May 14, we are billing for evaluation code 99202-25 (the -25 is a "modifier" for same-day service) and we wait so see what the payment will be when Cigna processes those claims.

If you would rather not pay for your vasectomy up front and await reimbursement when Cigna pays us, you may be able to find an office that does not require pre-payment. We understand. Thank you.