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Emergency Department Visit, Level 3 (Low Complexity)

Virginia 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?

$147

Typical total for the visit. In Virginia, July 2026.

Insurers have agreed to pay about $147 for this emergency department visit. That total is two separate charges billed under the same code: $66.07 to the emergency physician who treats you, and $81.28 to the hospital for the emergency department itself. Tests, imaging and treatments during the visit are billed separately.

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.

What's inside this number

Part of the billTypicalRange
Physician feeThe emergency physician who treats you$66.07$56.23 to $83.18
Facility feeThe hospital emergency department$81.28$69.18 to $105

How much rates vary

Facilitymedian $81 · 10th to 90th $62 to $138Professionalmedian $66 · 10th to 90th $49 to $123
$20.0$50.0$100.0$200.0$500.0$1.0K$2.0Kfacility $81professional $66

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
$47.86
Median
$63.10
Typical High
$104.71
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$67.61
Median
$100.00
Typical High
$380.19
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$95.50
Typical High
$173.78
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$83.18
Typical High
$109.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$83.18
Typical High
$151.36
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$83.18
Typical High
$223.87
Medcost
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$77.62
Typical High
$131.83
Medcost
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$85.11
Typical High
$147.91
Medcost
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
Sentara
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$77.62
Typical High
$131.83
Sentara
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$77.62
Typical High
$131.83
United
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$75.86
Typical High
$147.91
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$89.13
Median
$91.20
Typical High
$151.36

Where Virginia sits

The same service costs 44.5 times more in Vermont than in New Hampshire. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeVirginia $147 · 39th of 44
VT $5,446NH $122

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.