go back

Emergency Department Visit, Level 2 (Straightforward)

Kentucky 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?

$41.69

Typical physician fee. In Kentucky, July 2026.

Insurers have agreed to pay about $41.69 for this service. Most negotiated rates run $31.62 to $66.07.

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

Facilitymedian $44 · 10th to 90th $36 to $58Professionalmedian $42 · 10th to 90th $28 to $219
$50$100$200facility $44professional $42

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
$27.54
Median
$41.69
Typical High
$239.88
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$60.26
Median
$69.18
Typical High
$162.18
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$43.65
Typical High
$72.44
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$38.02
Median
$43.65
Typical High
$57.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$35.48
Typical High
$79.43
CareSource
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$43.65
Typical High
$57.54
CareSource
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$46.77
Typical High
$63.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$56.23
Typical High
$194.98
Molina
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$32.36
Typical High
$33.11
United
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$44.67
Typical High
$87.10
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$44.67
Median
$85.11
Typical High
$87.10

Where Kentucky 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.

Kentucky· 46th of 51

$41.69

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.