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Emergency Department Visit, Level 2 (Straightforward)

Utah 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 Utah, July 2026.

Insurers have agreed to pay about $53.70 for this service. Most negotiated rates run $39.81 to $77.62.

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 $54 · 10th to 90th $54 to $54Professionalmedian $54 · 10th to 90th $34 to $135
$50$100facility $54professional $54

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
$52.48
Typical High
$134.90
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$58.88
Median
$100.00
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$57.54
Typical High
$100.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$114.82
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$72.44
Typical High
$104.71
Select Health
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
Select Health
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$85.11
Typical High
$102.33
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$58.88
Typical High
$89.13
United
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$51.29
Typical High
$128.82
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$67.61
Median
$67.61
Typical High
$85.11

Where Utah 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.

Utah· 23rd 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.