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New Jersey rates for HCPCS 99211

Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional

Facilitymedian $32 · 10th–90th $6–$5250%10%10th90th$32Professionalmedian $21 · 10th–90th $7–$470%10%10th90th$21$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$6.31 / $20.42 / $489.78
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$218.78 / $446.68 / $691.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $19.95 / $43.65
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$15.85 / $31.62 / $56.23
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $21.38 / $28.84
Ambetter
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$17.78 / $22.39 / $25.12
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $269.15 / $436.52
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $26.92 / $44.67
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $169.82 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $21.88 / $39.81
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $54.95
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $21.88 / $41.69
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,089.30 / $13,803.84 / $19,498.45
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $26.30 / $42.66
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $24.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $21.88 / $41.69
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$24.55 / $28.84 / $79.43