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Emergency Department Visit, Level 2 (Straightforward)

North Carolina 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?

$60.26

Typical physician fee. In North Carolina, July 2026.

Insurers have agreed to pay about $60.26 for this service. Most negotiated rates run $41.69 to $75.86.

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 $66 · 10th to 90th $39 to $102Professionalmedian $60 · 10th to 90th $33 to $100
$50$100$200$500facility $66professional $60

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
$30.90
Median
$53.70
Typical High
$117.49
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$45.71
Median
$95.50
Typical High
$144.54
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$51.29
Typical High
$87.10
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$38.02
Median
$54.95
Typical High
$70.79
BCBS
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$67.61
Typical High
$93.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$54.95
Typical High
$100.00
Medcost
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
Medcost
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$66.07
Typical High
$97.72
Medcost
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$39.81
Typical High
$107.15
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$74.13
Typical High
$95.50
United
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$45.71
Typical High
$97.72
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$67.61
Median
$85.11
Typical High
$87.10
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19

Where North Carolina 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.

North Carolina· 8th of 51

$60.26

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.