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Emergency Department Visit, Level 3 (Low Complexity)

Delaware 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?

$57.54

Typical physician fee. In Delaware, July 2026.

Insurers have agreed to pay about $57.54 for this service. Most negotiated rates run $52.48 to $66.07.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $58 · 10th to 90th $47 to $78
$50$100$200professional $58

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
$56.23
Typical High
$77.62
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$870.96
Median
$912.01
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$79.43
Typical High
$144.54
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$138.04
Typical High
$758.58
Highmark BCBS
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$85.11
Median
$123.03
Typical High
$363.08
United
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$74.13
Typical High
$181.97
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$91.20
Median
$91.20
Typical High
$91.20

Where Delaware 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.

Delaware· 51st of 51

$57.54

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.