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New Jersey rates for HCPCS 99202

Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded.

Facilitymedian $95 · 10th–90th $43–$3720%10%10th90th$95Professionalmedian $76 · 10th–90th $42–$1700%5%10%10th90th$76$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $95.50 / $354.81
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$79.43 / $194.98 / $389.05
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $70.79 / $158.49
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$53.70 / $89.13 / $199.53
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $69.18 / $93.33
Ambetter
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$56.23 / $70.79 / $79.43
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $74.13 / $162.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $169.82 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $77.62 / $134.90
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $72.44 / $125.89
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $85.11 / $138.04
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $75.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $72.44 / $125.89
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$70.79 / $79.43 / $107.15