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Emergency Department Visit, Level 5 (Highest)

Alaska rates for HCPCS 99285

An emergency department visit involving a patient history and physical examination, with high-complexity medical decision-making. This is the highest of the five visit levels, one step above 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 5 (Highest) cost?

$182

Typical physician fee. In Alaska, July 2026.

Insurers have agreed to pay about $182 for this service. Most negotiated rates run $138 to $263.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $245 · 10th to 90th $178 to $457Professionalmedian $178 · 10th to 90th $132 to $513
$5.0$20.0$100.0$500.0$2.0Kfacility $245professional $178

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
$114.82
Median
$154.88
Typical High
$295.12
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$47.86
Median
$309.03
Typical High
$1,479.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$275.42
Typical High
$831.76
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$245.47
Typical High
$457.09
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$524.81
Typical High
$870.96
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$1,047.13
Typical High
$1,047.13
Providence
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$245.47
Typical High
$457.09
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$281.84
Typical High
$588.84
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$398.11
Typical High
$794.33

Where Alaska sits

The same service costs 2.5 times more in West Virginia than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Alaska $182 · 18th of 51
WV $372DE $148

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.