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Emergency Department Visit, Level 5 (Highest)

Nebraska 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?

$263

Typical physician fee. In Nebraska, July 2026.

Insurers have agreed to pay about $263 for this service. Most negotiated rates run $155 to $363.

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.

How much rates vary

Facilitymedian $269 · 10th to 90th $155 to $1,820Professionalmedian $263 · 10th to 90th $115 to $447
$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $269professional $263

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
$245.47
Typical High
$562.34
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$128.82
Median
$363.08
Typical High
$660.69
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$269.15
Typical High
$331.13
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$190.55
Median
$257.04
Typical High
$338.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$776.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$269.15
Typical High
$354.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$338.84
Typical High
$436.52
Medica
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$263.03
Typical High
$1,819.70
Medica
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$602.56
Median
$2,089.30
Typical High
$3,388.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$323.59
Typical High
$457.09
Medica
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$223.87
Median
$323.59
Typical High
$407.38
Midlands
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$331.13
Typical High
$446.68
Midlands
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$380.19
Typical High
$426.58
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$323.59
Typical High
$363.08
United
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$302.00
Typical High
$446.68
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$79.43
Median
$79.43
Typical High
$79.43

Where Nebraska 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.

Nebraska $263 · 3rd 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.