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Emergency Department Visit, Level 3 (Low Complexity)

Montana 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?

$69.18

Typical physician fee. In Montana, July 2026.

Insurers have agreed to pay about $69.18 for this service. Most negotiated rates run $57.54 to $115.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $120 · 10th to 90th $69 to $135Professionalmedian $68 · 10th to 90th $49 to $166
$20.0$50.0$100.0$200.0$500.0$1.0Kfacility $120professional $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
$45.71
Median
$67.61
Typical High
$169.82
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$70.79
Median
$128.82
Typical High
$234.42
BCBS
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$112.20
Typical High
$112.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$100.00
Typical High
$151.36
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$120.23
Typical High
$131.83
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$120.23
Typical High
$131.83
Providence
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$89.13
Typical High
$154.88
Providence
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$100.00
Typical High
$177.83
United
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$104.71
Typical High
$141.25

Where Montana 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.

Montana $69.18 · 25th 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.