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Emergency Department Visit, Level 2 (Straightforward)

Virginia 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?

$96.36

Typical total for the visit. In Virginia, July 2026.

Insurers have agreed to pay about $96.36 for this emergency department visit. That total is two separate charges billed under the same code: $42.66 to the emergency physician who treats you, and $53.70 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe emergency physician who treats you$42.66$34.67 to $58.88
Facility feeThe hospital emergency department$53.70$43.65 to $64.57

How much rates vary

Facilitymedian $54 · 10th to 90th $38 to $87Professionalmedian $43 · 10th to 90th $31 to $78
$50$100facility $54professional $43

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
$29.51
Median
$40.74
Typical High
$70.79
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$42.66
Median
$75.86
Typical High
$131.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$54.95
Typical High
$102.33
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$48.98
Typical High
$60.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$50.12
Typical High
$93.33
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$47.86
Typical High
$141.25
Medcost
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$51.29
Typical High
$77.62
Medcost
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$56.23
Typical High
$97.72
Medcost
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
Sentara
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$47.86
Typical High
$81.28
Sentara
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$47.86
Typical High
$81.28
United
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
United
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$46.77
Typical High
$95.50
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$67.61
Median
$85.11
Typical High
$87.10

Where Virginia 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

Virginia· 36th of 44

$96.36

$42.66 physician + $53.70 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.