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Emergency Department Visit, Level 3 (Low Complexity)

South Dakota 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?

$74.13

Typical physician fee. In South Dakota, July 2026.

Insurers have agreed to pay about $74.13 for this service. Most negotiated rates run $66.07 to $145.

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 $102 · 10th to 90th $74 to $117Professionalmedian $74 · 10th to 90th $58 to $195
$50.0$100.0$200.0$500.0facility $102professional $74

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
$57.54
Median
$69.18
Typical High
$194.98
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$56.23
Median
$158.49
Typical High
$295.12
Avera
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$95.50
Typical High
$112.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$125.89
Typical High
$154.88
Medica
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$102.33
Typical High
$117.49
Medica
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$120.23
Typical High
$501.19
Medica
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$131.83
Median
$131.83
Typical High
$173.78
Midlands
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$117.49
Typical High
$141.25
Midlands
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$134.90
Typical High
$134.90
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$104.71
Typical High
$138.04
United
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$107.15
Typical High
$158.49
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$120.23
Typical High
$123.03

Where South Dakota 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.

South Dakota $74.13 · 18th 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.