go back

Emergency Department Visit, Level 3 (Low Complexity)

Kentucky 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?

$67.61

Typical physician fee. In Kentucky, July 2026.

Insurers have agreed to pay about $67.61 for this service. Most negotiated rates run $56.23 to $120.

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 $74 · 10th to 90th $62 to $95Professionalmedian $68 · 10th to 90th $48 to $331
$50.0$100.0$200.0$500.0$1.0Kfacility $74professional $68

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
$67.61
Typical High
$380.19
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$53.70
Median
$128.82
Typical High
$467.74
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$77.62
Typical High
$218.78
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$64.57
Median
$75.86
Typical High
$107.15
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$70.79
Typical High
$151.36
CareSource
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$74.13
Typical High
$95.50
CareSource
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$75.86
Typical High
$107.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$93.33
Typical High
$331.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$48.98
United
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$70.79
Typical High
$141.25
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$85.11
Median
$85.11
Typical High
$91.20

Where Kentucky 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.

Kentucky $67.61 · 31st 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.