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Emergency Department Visit, Level 5 (Highest)

Minnesota 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?

$748

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

Insurers have agreed to pay about $748 for this emergency department visit. That total is two separate charges billed under the same code: $269 to the emergency physician who treats you, and $479 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe emergency physician who treats you$269$158 to $468
Facility feeThe hospital emergency department$479$257 to $1,000

How much rates vary

Facilitymedian $479 · 10th to 90th $170 to $1,380Professionalmedian $269 · 10th to 90th $135 to $661
$50.0$100.0$200.0$500.0$1.0K$2.0Kfacility $479professional $269

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
$128.82
Median
$165.96
Typical High
$630.96
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$154.88
Median
$446.68
Typical High
$1,479.11
BCBS
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$1,819.70
BCBS
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$436.52
Typical High
$575.44
BCBS
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$218.78
Median
$354.81
Typical High
$467.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$457.09
Typical High
$707.95
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$691.83
Typical High
$1,318.26
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$426.58
Typical High
$616.60
Medica
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$275.42
Typical High
$1,412.54
Medica
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$1,258.93
Median
$1,513.56
Typical High
$2,344.23
Medica
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$537.03
Typical High
$933.25
Medica
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$371.54
Median
$537.03
Typical High
$912.01
United
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$398.11
Typical High
$645.65
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$79.43
Median
$89.13
Typical High
$371.54

Where Minnesota sits

The same service costs 18.8 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 feeMinnesota $748 · 9th of 43
VT $5,557NH $295

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.