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Emergency Department Visit, Level 3 (Low Complexity)

Illinois 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?

$77.62

Typical physician fee. In Illinois, July 2026.

Insurers have agreed to pay about $77.62 for this service. Most negotiated rates run $63.10 to $170.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $269 · 10th to 90th $129 to $427Professionalmedian $78 · 10th to 90th $52 to $490
$20.0$50.0$100.0$200.0$500.0$1.0K$2.0Kfacility $269professional $78

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
$51.29
Median
$72.44
Typical High
$512.86
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$70.79
Median
$218.78
Typical High
$549.54
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$74.13
Typical High
$114.82
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$64.57
Median
$81.28
Typical High
$125.89
BCBS
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$269.15
Typical High
$407.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$91.20
Typical High
$95.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$93.33
Typical High
$147.91
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$173.78
Typical High
$630.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$123.03
Typical High
$257.04
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$72.44
Median
$89.13
Typical High
$151.36

Where Illinois sits

The same service costs 2.5 times more in North Dakota than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Illinois $77.62 · 11th of 51
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.