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Cognitive Assessment and Care Planning Visit

New Jersey rates for HCPCS 99483

This is a dedicated office visit where a doctor or other qualified provider evaluates a patient's memory and thinking abilities and develops a personalized care plan based on the results. It is typically used for patients with concerns about memory loss or a diagnosed cognitive condition such as dementia, and involves input from the patient and often a caregiver.

Rates data updated July 2026.

How much does Cognitive Assessment and Care Planning Visit cost?

$219

Typical physician fee. In New Jersey, July 2026.

Insurers have agreed to pay about $219 for this service. Most negotiated rates run $178 to $269.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $214 · 10th to 90th $155 to $389Professionalmedian $219 · 10th to 90th $151 to $380
$200$500facility $214professional $219

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$213.80
Typical High
$389.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$208.93
Typical High
$309.03
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$63.10
Median
$288.40
Typical High
$288.40
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$281.84
Typical High
$316.23
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$281.84
Typical High
$478.63
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$416.87
Typical High
$630.96
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$288.40
Typical High
$407.38
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$269.15
Typical High
$489.78
United
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$251.19
Typical High
$478.63

Where New Jersey sits

The same service costs 2.1 times more in Minnesota than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New Jersey· 33rd of 51

$219

MN $427KY $200

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.