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Hospital Outpatient Clinic Visit

New Jersey rates for HCPCS G0463

Hospital outpatient clinic visit for assessment and management of a patient

Rates data updated July 2026.

How much does Hospital Outpatient Clinic Visit cost?

$87.10

Typical physician fee. In New Jersey, July 2026.

Insurers have agreed to pay about $87.10 for this service. Most negotiated rates run $81.28 to $145.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $151 · 10th to 90th $56 to $550Professionalmedian $87 · 10th to 90th $74 to $170
$50$100$200$500facility $151professional $87

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
$56.23
Median
$151.36
Typical High
$549.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$87.10
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$398.11
Typical High
$660.69
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$169.82
Typical High
$169.82
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$79.43
Typical High
$234.42

Where New Jersey sits

The same service costs 9.1 times more in North Carolina than in Minnesota. 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· 13th of 51

$87.10

NC $166MN $18.20

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.