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Emergency Department Visit, Level 3 (Low Complexity)

Vermont 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 Vermont, July 2026.

Insurers have agreed to pay about $75.86 for this service. Most negotiated rates run $64.57 to $95.50.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $5,370 · 10th to 90th $5,370 to $5,370Professionalmedian $76 · 10th to 90th $55 to $224
$100$200$500$1K$2K$5Kfacility $5,370professional $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
$54.95
Median
$70.79
Typical High
$223.87
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$72.44
Median
$223.87
Typical High
$331.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$107.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$5,370.32
Typical High
$5,370.32
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$79.43
Typical High
$125.89
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$85.11
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$85.11
Typical High
$173.78

Where Vermont sits

The same service costs 2.5 times more in North Dakota than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Vermont· 15th of 51

$75.86

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.