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Emergency Department Visit, Level 3 (Low Complexity)

North Carolina 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 North Carolina, July 2026.

Insurers have agreed to pay about $77.62 for this service. Most negotiated rates run $61.66 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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $89 · 10th to 90th $66 to $148Professionalmedian $78 · 10th to 90th $52 to $182
$20.0$50.0$100.0$200.0$500.0$1.0Kfacility $89professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$67.61
Typical High
$199.53
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$66.07
Median
$147.91
Typical High
$501.19
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$83.18
Typical High
$144.54
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$66.07
Median
$97.72
Typical High
$144.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$107.15
Typical High
$173.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$89.13
Typical High
$162.18
Medcost
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
Medcost
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$89.13
Typical High
$141.25
Medcost
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$67.61
Typical High
$158.49
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$128.82
Typical High
$165.96
United
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$70.79
Typical High
$144.54
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$72.44
Median
$89.13
Typical High
$91.20
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19

Where North Carolina 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.

North Carolina $77.62 · 7th 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.