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Emergency Department Visit, Level 5 (Highest)

Wyoming 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 October 2026.

How much does Emergency Department Visit, Level 5 (Highest) cost?

$288

Typical physician fee. In Wyoming, October 2026.

Insurers have agreed to pay about $288 for this service. Most negotiated rates run $204 to $309.

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 $513 · 10th to 90th $513 to $1,660Professionalmedian $282 · 10th to 90th $151 to $316
$200$500$1Kfacility $513professional $282

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$131.83
Median
$151.36
Typical High
$194.98
BCBS Wyoming
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
BCBS Wyoming
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
BCBS Wyoming
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
Cigna
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$234.42
Typical High
$354.81
Medica
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$3,090.30
Moda Health
Setting
Facility
Modifier
None
Typical Low
$512.86
Median
$512.86
Typical High
$1,659.59
Moda Health
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$831.76
Median
$1,949.84
Typical High
$3,548.13
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$204.17
Median
$213.80
Typical High
$537.03
United
Setting
Professional
Modifier
None
Typical Low
$213.80
Median
$295.12
Typical High
$416.87

Where Wyoming sits

The same service costs 3.4 times more in Minnesota than in Alabama. 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.

Wyoming· 9th of 51

$288

MN $490AL $145

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.