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Emergency Department Visit, Level 2 (Straightforward)

New Mexico 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?

$110

Typical total for the visit. In New Mexico, July 2026.

Insurers have agreed to pay about $110 for this emergency department visit. That total is two separate charges billed under the same code: $46.77 to the emergency physician who treats you, and $63.10 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$46.77$35.48 to $58.88
Facility feeThe hospital emergency department$63.10$50.12 to $112

How much rates vary

Facilitymedian $63 · 10th to 90th $38 to $661Professionalmedian $47 · 10th to 90th $30 to $69
$50$100$200$500facility $63professional $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. 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
$50.12
Typical High
$69.18
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$34.67
Median
$61.66
Typical High
$138.04
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$39.81
Typical High
$70.79
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$33.88
Median
$39.81
Typical High
$39.81
BCBS
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$478.63
Typical High
$758.58
BCBS
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$41.69
Typical High
$67.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$56.23
Typical High
$89.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$60.26
Providence
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$58.88
Typical High
$100.00
Providence
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$61.66
Typical High
$104.71
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
United
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$60.26
Typical High
$112.20
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$87.10
Median
$87.10
Typical High
$87.10

Where New Mexico 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

New Mexico· 28th of 44

$110

$46.77 physician + $63.10 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.