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New Jersey rates for HCPCS H0004

Behavioral health counseling and therapy, per 15 minutes

Facilitymedian $10 · 10th–90th $9–$100%50%10th$10Professionalmedian $14 · 10th–90th $10–$150%50%10th90th$14$1.0$2.0$5.0$10.0$20.0$50.0

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
$8.91 / $10.00 / $10.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $14.13 / $19.05
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $8.13 / $9.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $10.72
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $13.80 / $13.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $28.18