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Visit Complexity Add-On for Continuing or Ongoing Care

New Jersey rates for HCPCS G2211

Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to home or residence or office/outpatient evaluation and management service, new or established)

Rates data updated July 2026.

How much does Visit Complexity Add-On for Continuing or Ongoing Care cost?

$16.22

Typical physician fee. In New Jersey, July 2026.

Insurers have agreed to pay about $16.22 for this service. Most negotiated rates run $14.13 to $17.78.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $16 · 10th to 90th $8 to $25
$0.1$1.0$10.0$100.0professional $16

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
Professional
Modifier
Global
Typical Low
$3.55
Median
$16.22
Typical High
$24.55
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$17.78
Typical High
$27.54
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$16.98
Typical High
$69.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$13.80
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$25.12
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$15.49
Typical High
$21.88
United
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$15.85
Typical High
$31.62

Where New Jersey sits

The same service costs 2.8 times more in Alaska than in Tennessee. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New Jersey $16.22 · 19th of 51
AK $41.69TN $14.79

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.