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Emergency Department Visit, Level 3 (Low Complexity)

Washington, DC rates for HCPCS 99283

An emergency department visit involving a patient history and physical examination, with low-complexity medical decision-making. This is the third of the five visit levels, above the straightforward level and below the moderate-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 3 (Low Complexity) cost?

$63.10

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $63.10 for this service. Most negotiated rates run $53.70 to $70.79.

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

Professionalmedian $63 · 10th to 90th $47 to $79
$20$50$100$200professional $63

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
$46.77
Median
$60.26
Typical High
$77.62
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$58.88
Median
$107.15
Typical High
$107.15
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$75.86
Typical High
$208.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$85.11
Typical High
$275.42
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$83.18
Typical High
$154.88
United
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$97.72
Typical High
$263.03
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$85.11
Median
$85.11
Typical High
$89.13

Where Washington, DC sits

The same service costs 2.5 times more in North Dakota than in Delaware. 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.

Washington, DC· 49th of 51

$63.10

ND $145DE $57.54

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.