Level 1 Type B Emergency Department Visit

Kentucky 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 July 2026.

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

$123

Typical physician fee. In Kentucky, July 2026.

Insurers have agreed to pay about $123 for this service. Most negotiated rates run $16.22 to $234.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $65 · 10th to 90th $65 to $234Professionalmedian $123 · 10th to 90th $16 to $234

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier Global Typical Low $234.42 Median $234.42 Typical High $234.42	Facility	Global	$234.42	$234.42	$234.42
Aetna Setting Professional Modifier Global Typical Low $123.03 Median $234.42 Typical High $234.42	Professional	Global	$123.03	$234.42	$234.42
Anthem BCBS Setting Professional Modifier Global Typical Low $16.22 Median $16.22 Typical High $16.60	Professional	Global	$16.22	$16.22	$16.60
Cigna Setting Facility Modifier Global Typical Low $64.57 Median $64.57 Typical High $64.57	Facility	Global	$64.57	$64.57	$64.57
Molina Setting Professional Modifier Global Typical Low $44.67 Median $44.67 Typical High $44.67	Professional	Global	$44.67	$44.67	$44.67

Where Kentucky sits

The same service costs 9.8 times more in Michigan than in Minnesota. 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.

Kentucky· 47th of 51

$123

MI $234MN $23.99

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.