New Jersey
Horizon BCBS New Jersey fee schedule 2026, by CPT code.
What Horizon BCBS New Jersey’s own published files say it pays, and the rate it lists for your practice, free by NPI.
Answers in seconds, for any code you bill.
Typical published Horizon BCBS New Jersey rates, September 2026 files
| Code | Visit | Middle rate | Middle half |
|---|---|---|---|
| 99213 | Office visit, established patient, 20–29 min | $73.17 | $73.17–$83.93 |
| 99214 | Office visit, established patient, 30–39 min | $107.66 | $107.66–$123.49 |
| 99215 | Office visit, established patient, 40–54 min | $143.69 | $143.69–$164.81 |
| 99212 | Office visit, established patient, 10–19 min | $49.14 | $49.14–$54.46 |
| 99203 | Office visit, new patient, 30–44 min | $108.30 | $108.30–$121.93 |
| 99204 | Office visit, new patient, 45–59 min | $165.18 | $165.18–$188.47 |
| 90791 | Psychiatric diagnostic evaluation | $141.41 | $132.96–$156.42 |
| 90834 | Psychotherapy, 45 min | $91.54 | $86.16–$101.36 |
| 90837 | Psychotherapy, 60 min | $137.26 | $128.95–$151.70 |
6 more codes
| 99212 | $49.14 | $49.14–$54.46 |
| 99203 | $108.30 | $108.30–$121.93 |
| 99204 | $165.18 | $165.18–$188.47 |
| 90791 | $141.41 | $132.96–$156.42 |
| 90834 | $91.54 | $86.16–$101.36 |
| 90837 | $137.26 | $128.95–$151.70 |
Middle of the rates Horizon BCBS New Jersey published for each code in its September 2026 files. Your contracted rate may be higher or lower. Source: Horizon BCBS New Jersey’s machine-readable files. How these are counted.
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Inside Horizon BCBS New Jersey’s files
What Horizon BCBS New Jersey publishes, and how we count it.
Published by Horizon BCBS New Jersey under the federal Transparency in Coverage rule.
The typical rates at the top of this page are in-office professional rates across the provider groups in Horizon BCBS New Jersey’s files (as of September 2026) that carry one rate for the code — 82,149 for 99213. The middle rate is the one in the middle of those groups; half are paid within the “middle half” range. A group in two networks counts once in each. Your own contract can sit inside or outside that range, which is why the figure that matters is yours: look it up.
One code at a time: Horizon BCBS New Jersey 99214 rate · Horizon BCBS New Jersey 90837 rate
How Horizon BCBS New Jersey compares with six other payers for office visits, September 2026 files: Same code, different pay.
What you get
The number, and everything behind it.
The exact dollar Horizon BCBS New Jersey negotiated for a CPT code and your NPI — the genuinely negotiated figure, chosen by a fixed rule, not the “derived” line beside it.
Which Horizon BCBS New Jersey network the rate sits in (an HMO and a PPO product can pay differently), and that it’s the in-office professional rate.
The source file and its “as of” month, linked — so the number survives being questioned by a contracting manager.
On a paid plan, Horizon BCBS New Jersey becomes one column of a sheet next to every other payer you take, with underpayment checks and change alerts.
After the rate
Is Horizon BCBS New Jersey paying you what it published?
Upload your allowed amounts by code and see which ones Horizon BCBS New Jersey allowed below the rate it published for you, the claims affected and the dollar gap. Totals only, no patient data. →
Fee scheduleHorizon BCBS New Jersey next to every other payer you take, code by code, in one sheet, with the source behind every number and an alert when a rate changes. →
Your state
All the payers we read in New Jersey.
Why Horizon BCBS New Jersey has its own fee schedule, and what BlueCard means for out-of-state Blue patients: there is no single Blue Cross Blue Shield fee schedule →
Questions about Horizon BCBS New Jersey’s rates or your contract? Ask us →