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Emergency Department Visit, Level 3 (Low Complexity)

Utah 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 Utah, July 2026.

Insurers have agreed to pay about $69.18 for this service. Most negotiated rates run $58.88 to $129.

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.

How much rates vary

Facilitymedian $91 · 10th to 90th $91 to $91Professionalmedian $69 · 10th to 90th $51 to $219
$20.0$50.0$100.0$200.0$500.0$1.0Kfacility $91professional $69

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
$51.29
Median
$67.61
Typical High
$223.87
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$85.11
Median
$147.91
Typical High
$275.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$89.13
Typical High
$169.82
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$173.78
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$125.89
Typical High
$158.49
Select Health
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
Select Health
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$144.54
Typical High
$177.83
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$100.00
Typical High
$162.18
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$79.43
Typical High
$208.93
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$85.11
Median
$89.13
Typical High
$91.20

Where Utah 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.

Utah $69.18 · 28th 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.