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Nationwide rates for HCPCS G0381

Level 2 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)

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier	Facility/Professional	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $117.49 / $331.13 / $707.95	Facility	$117.49	$331.13	$707.95
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $125.89 / $186.21	Professional	$117.49	$125.89	$186.21
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,318.26 / $2,630.27 / $3,311.31	Facility	$1,318.26	$2,630.27	$3,311.31
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $38.02 / $56.23	Professional	$26.92	$38.02	$56.23
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $64.57 / $64.57 / $154.88	Facility	$64.57	$64.57	$154.88
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $37.15 / $37.15	Professional	$37.15	$37.15	$37.15
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $112.20 / $323.59 / $524.81	Facility	$112.20	$323.59	$524.81
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $302.00 / $302.00	Professional	$281.84	$302.00	$302.00

Nationwide rates for HCPCS G0381

See more rates by state