Cigna Plans Pricing
Cigna's developer APIs (Patient Access, Provider Directory, Drug Formulary, Provider Access) are CMS-mandated FHIR endpoints published under the CMS Interoperability and Patient Access final rule (and the Interoperability and Prior Authorization rule). They are not commercial APIs and have no published price — third-party applications register via SMART on FHIR / OAuth and consume them at no charge to comply with member-authorized data access. Provider Directory and Drug Formulary are public FHIR endpoints that do not require authentication for read access.
Plans
Public, unauthenticated FHIR R4 endpoints for the Cigna Provider Directory and Drug Formulary APIs, conforming to the HL7 Da Vinci PDex Plan Network and US Drug Formulary implementation guides.
- FHIR R4 conformance
- Da Vinci PDex Plan Network IG
- Da Vinci PDex US Drug Formulary IG
- No authentication required
Member-authorized access to a Cigna member's claims, encounters, clinical data, coverage, and pharmacy information via SMART on FHIR / OAuth 2.0. Conforms to the CMS Patient Access rule and the HL7 Da Vinci PDex IG. Third-party application onboarding is required.
- SMART on FHIR / OAuth 2.0
- Da Vinci PDex implementation guide
- CMS Interoperability and Patient Access rule conformance
- Application onboarding via the Cigna developer portal
Provider-authorized FHIR API for in-network providers to retrieve member clinical and claims data for care coordination. Conforms to the Da Vinci PDex Provider Access IG and the CMS Interoperability and Prior Authorization final rule.
- FHIR R4 conformance
- Da Vinci PDex Provider Access IG
- Provider attestation / authorization workflow