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Emergency Department Visit, Level 2 (Straightforward)

New Jersey 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?

$46.77

Typical physician fee. In New Jersey, July 2026.

Insurers have agreed to pay about $46.77 for this service. Most negotiated rates run $33.88 to $64.57.

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 $562 · 10th to 90th $309 to $4,074Professionalmedian $47 · 10th to 90th $29 to $107
$50$100$200$500$1K$2Kfacility $562professional $47

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
$28.84
Median
$45.71
Typical High
$107.15
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$42.66
Median
$61.66
Typical High
$138.04
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$41.69
Typical High
$51.29
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$40.74
Median
$45.71
Typical High
$53.70
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$4,073.80
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$104.71
Typical High
$199.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$57.54
Typical High
$125.89
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$67.61
Typical High
$162.18
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$512.86
Typical High
$616.60
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$46.77
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$52.48
Typical High
$141.25
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$67.61
Median
$85.11
Typical High
$85.11

Where New Jersey 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.

New Jersey· 36th of 51

$46.77

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.