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Emergency Department Visit, Level 2 (Straightforward)

West 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?

$89.13

Typical physician fee. In West Virginia, July 2026.

Insurers have agreed to pay about $89.13 for this service. Most negotiated rates run $40.74 to $224.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $45 · 10th to 90th $40 to $58Professionalmedian $89 · 10th to 90th $33 to $324
$10$20$50$100$200facility $45professional $89

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
$33.11
Median
$89.13
Typical High
$323.59
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$75.86
Median
$77.62
Typical High
$93.33
CareSource
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$44.67
Typical High
$57.54
CareSource
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$43.65
Typical High
$51.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$56.23
Typical High
$194.98
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$56.23
Typical High
$85.11
Highmark BCBS
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$50.12
Median
$54.95
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$40.74
Typical High
$85.11
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$60.26
Median
$67.61
Typical High
$87.10

Where West Virginia 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.

West Virginia· 1st of 51

$89.13

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.