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Emergency Department Visit, Level 3 (Low Complexity)

Maine 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?

$774

Typical total for the visit. In Maine, July 2026.

Insurers have agreed to pay about $774 for this emergency department visit. That total is two separate charges billed under the same code: $66.07 to the emergency physician who treats you, and $708 to the hospital for the emergency department itself. Tests, imaging and treatments during the visit are billed separately.

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.

What's inside this number

Part of the billTypicalRange
Physician feeThe emergency physician who treats you$66.07$57.54 to $102
Facility feeThe hospital emergency department$708$661 to $1,148

How much rates vary

Facilitymedian $708 · 10th to 90th $389 to $1,148Professionalmedian $66 · 10th to 90th $54 to $141
$50.0$200.0$1.0K$5.0Kfacility $708professional $66

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
$52.48
Median
$63.10
Typical High
$102.33
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$100.00
Typical High
$204.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,148.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$85.11
Typical High
$165.96
Community Health Options
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,548.82
Community Health Options
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$107.15
Typical High
$138.04
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$120.23
Typical High
$194.98
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$691.83
Typical High
$912.01
Martin's Point
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$512.86
Median
$575.44
Typical High
$630.96
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$66.07
Typical High
$104.71
United
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$102.33
Typical High
$165.96
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$89.13
Median
$89.13
Typical High
$89.13

Where Maine sits

The same service costs 44.5 times more in Vermont than in New Hampshire. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeMaine $774 · 7th of 44
VT $5,446NH $122

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.