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Emergency Department Visit, Level 2 (Straightforward)

Maine 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?

$549

Typical total for the visit. In Maine, July 2026.

Insurers have agreed to pay about $549 for this emergency department visit. That total is two separate charges billed under the same code: $58.88 to the emergency physician who treats you, and $490 to the hospital for the emergency department itself. Tests, imaging and treatments during the visit are billed separately.

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.

What's inside this number

Part of the billTypicalRange
Physician feeThe emergency physician who treats you$58.88$43.65 to $69.18
Facility feeThe hospital emergency department$490$234 to $575

How much rates vary

Facilitymedian $490 · 10th to 90th $224 to $589Professionalmedian $59 · 10th to 90th $35 to $89
$50$100$200$500facility $490professional $59

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$53.70
Typical High
$69.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$60.26
Typical High
$93.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$51.29
Typical High
$89.13
Community Health Options
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
Community Health Options
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$63.10
Typical High
$85.11
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$69.18
Typical High
$112.20
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$524.81
Typical High
$741.31
Martin's Point
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$52.48
Typical High
$72.44
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$64.57
Typical High
$95.50
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$67.61
Median
$67.61
Typical High
$67.61

Where Maine sits

The same service costs 27.8 times more in Vermont than in Nevada. 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.

Physician feeFacility fee

Maine· 7th of 44

$549

$58.88 physician + $490 facility

VT $2,243NV $80.55

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.