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Emergency Department Visit, Level 5 (Highest)

Nevada 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?

$151

Typical physician fee. In Nevada, July 2026.

Insurers have agreed to pay about $151 for this service. Most negotiated rates run $135 to $174.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $170 · 10th to 90th $151 to $3,388Professionalmedian $151 · 10th to 90th $117 to $209
$10.0$100.0$1.0Kfacility $170professional $151

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
$117.49
Median
$147.91
Typical High
$190.55
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$162.18
Median
$537.03
Typical High
$549.54
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$416.87
Typical High
$676.08
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$165.96
Median
$467.74
Typical High
$891.25
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$2,818.38
Typical High
$3,388.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$208.93
Typical High
$346.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$199.53
Typical High
$323.59
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$1.86
Median
$186.21
Typical High
$295.12
Hometown Health
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Select Health
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$169.82
Select Health
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$151.36
Typical High
$316.23
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$194.98
Typical High
$354.81

Where Nevada 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.

Nevada $151 · 50th 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.