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Nationwide rates for HCPCS 99283

Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making

Facilitymedian $759 · 10th–90th $115–$1,9950%10%20%10th90th$759Professionalmedian $76 · 10th–90th $52–$3090%20%10th90th$76$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $794.33 / $2,089.30
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$331.13 / $812.83 / $2,041.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $69.18 / $239.88
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$63.10 / $134.90 / $446.68
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $2,884.03 / $6,606.93
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $85.11 / $158.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $1,148.15 / $2,137.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $87.10 / $199.53
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $1,412.54 / $2,951.21
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $87.10 / $234.42
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$85.11 / $89.13 / $123.03

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