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Emergency Department Visit, Level 2 (Straightforward)

South Dakota 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?

$61.66

Typical physician fee. In South Dakota, July 2026.

Insurers have agreed to pay about $61.66 for this service. Most negotiated rates run $38.90 to $74.13.

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 $60 · 10th to 90th $40 to $93Professionalmedian $62 · 10th to 90th $35 to $182
$50$100$200$500facility $60professional $62

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
$33.88
Median
$60.26
Typical High
$190.55
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$38.02
Median
$158.49
Typical High
$190.55
Avera
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$54.95
Typical High
$66.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$74.13
Typical High
$91.20
Medica
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$60.26
Typical High
$93.33
Medica
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$70.79
Typical High
$501.19
Medica
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Midlands
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$79.43
Typical High
$83.18
Midlands
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$91.20
Typical High
$91.20
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$69.18
Typical High
$81.28
United
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$70.79
Typical High
$109.65
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$69.18
Typical High
$72.44

Where South Dakota 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.

South Dakota· 7th of 51

$61.66

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.