Level 1 Type B Emergency Department Visit

Georgia rates for HCPCS G0380

Level 1 hospital emergency department visit provided in a type B emergency department; (the ED must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 CFR 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment)

Rates data updated October 2026.

How much does Level 1 Type B Emergency Department Visit cost?

$16.60

Typical physician fee. In Georgia, October 2026.

Insurers have agreed to pay about $16.60 for this service. Most negotiated rates run $16.22 to $16.60.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $832 · 10th to 90th $234 to $2,630Professionalmedian $17 · 10th to 90th $16 to $234

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42	Facility	None	$234.42	$234.42	$234.42
Aetna Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42	Professional	None	$234.42	$234.42	$234.42
Anthem BCBS Setting Facility Modifier None Typical Low $398.11 Median $891.25 Typical High $2,630.27	Facility	None	$398.11	$891.25	$2,630.27
Anthem BCBS Setting Professional Modifier None Typical Low $15.49 Median $16.60 Typical High $16.60	Professional	None	$15.49	$16.60	$16.60
Cigna Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65	Professional	None	$43.65	$43.65	$43.65

Where Georgia sits

The same service costs 50.1 times more in Oklahoma than in Virginia. 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.

Georgia· 47th of 51

$16.60

OK $776VA $15.49

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.