go back

Emergency Department Visit, Level 3 (Low Complexity)

Rhode Island 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?

$75.86

Typical physician fee. In Rhode Island, July 2026.

Insurers have agreed to pay about $75.86 for this service. Most negotiated rates run $66.07 to $107.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,585 · 10th to 90th $1,585 to $1,585Professionalmedian $76 · 10th to 90th $60 to $224
$100.0$200.0$500.0$1.0Kfacility $1,585professional $76

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
$58.88
Median
$72.44
Typical High
$223.87
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$72.44
Median
$89.13
Typical High
$229.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$79.43
Typical High
$147.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$1,584.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$102.33
Typical High
$281.84
United
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$83.18
Typical High
$213.80

Where Rhode Island 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.

Rhode Island $75.86 · 14th 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.