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Emergency Department Visit, Level 2 (Straightforward)

Iowa rates for HCPCS 99282

An emergency department visit involving a patient history and physical examination, with straightforward medical decision-making. This is the second of the five visit levels and the lowest that involves the clinician's own decision-making, one step below the low-complexity level. The extent of the history and examination is whatever is medically appropriate.

Rates data updated July 2026.

How much does Emergency Department Visit, Level 2 (Straightforward) cost?

$53.70

Typical physician fee. In Iowa, July 2026.

Insurers have agreed to pay about $53.70 for this service. Most negotiated rates run $37.15 to $77.62.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $60 · 10th to 90th $37 to $229Professionalmedian $54 · 10th to 90th $31 to $145
$10$50$200$1Kfacility $60professional $54

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
$30.20
Median
$52.48
Typical High
$141.25
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$43.65
Median
$134.90
Typical High
$162.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$75.86
Typical High
$93.33
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$60.26
Typical High
$204.17
Medica
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$60.26
Typical High
$97.72
Medica
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Medica
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$69.18
Typical High
$501.19
Medica
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$70.79
Median
$75.86
Typical High
$79.43
Midlands
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$79.43
Typical High
$93.33
Midlands
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$83.18
Typical High
$112.20
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$2,951.21
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$74.13
Typical High
$95.50
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$69.18
Typical High
$123.03
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$67.61
Median
$85.11
Typical High
$87.10
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$69.18
Typical High
$69.18

Where Iowa sits

The same service costs 2.4 times more in West Virginia than in Wyoming. 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.

Iowa· 20th of 51

$53.70

WV $89.13WY $37.15

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.