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Emergency Department Visit, Level 2 (Straightforward)

Montana 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 Montana, July 2026.

Insurers have agreed to pay about $53.70 for this service. Most negotiated rates run $33.11 to $67.61.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $71 · 10th to 90th $45 to $85Professionalmedian $51 · 10th to 90th $27 to $91
$50$100$200facility $71professional $51

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
$26.92
Median
$45.71
Typical High
$91.20
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$66.07
Median
$95.50
Typical High
$144.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$64.57
Typical High
$64.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$64.57
Typical High
$89.13
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$70.79
Typical High
$79.43
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$70.79
Typical High
$79.43
Providence
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$56.23
Typical High
$97.72
Providence
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$70.79
Typical High
$104.71
United
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$70.79
Typical High
$95.50

Where Montana 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.

Montana· 18th 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.