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Level 2 Type B Emergency Department Visit

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)

Rates data updated October 2026.

How much does Level 2 Type B Emergency Department Visit cost?

$43.65

Typical negotiated rate. Nationwide, October 2026.

Insurers have agreed to pay about $43.65 for this service. The price depends on where it is billed: about $41.69 from a physician practice, and about $417 from a hospital or other facility.

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 58 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$41.69$37.15 to $126
FacilityA hospital or hospital-owned outpatient department$417$186 to $1,000

How much rates vary

Facilitymedian $417 · 10th to 90th $120 to $2,291Professionalmedian $42 · 10th to 90th $35 to $145
$50$100$200$500$1K$2K$5Kfacility $417professional $42

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
Aetna
Setting
Facility
Modifier
None
Typical Low
$79.43
Median
$128.82
Typical High
$1,023.29
Aetna
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$125.89
Typical High
$239.88
AllWays Health Partners
Setting
Facility
Modifier
None
Typical Low
$257.04
Median
$263.03
Typical High
$407.38
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$478.63
Median
$1,412.54
Typical High
$3,388.44
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$27.54
Median
$39.81
Typical High
$50.12
Asuris Northwest Health
Setting
Facility
Modifier
None
Typical Low
$229.09
Median
$389.05
Typical High
$707.95
BCBS Arizona
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$39.81
Typical High
$77.62
BCBS Arkansas
Setting
Facility
Modifier
None
Typical Low
$169.82
Median
$478.63
Typical High
$812.83
BCBS Idaho
Setting
Facility
Modifier
None
Typical Low
$57.54
Median
$181.97
Typical High
$371.54
BCBS Kansas
Setting
Facility
Modifier
None
Typical Low
$114.82
Median
$120.23
Typical High
$120.23
BCBS Louisiana
Setting
Facility
Modifier
None
Typical Low
$95.50
Median
$169.82
Typical High
$257.04
BCBS Louisiana
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$69.18
Typical High
$87.10
BCBS Massachusetts
Setting
Facility
Modifier
None
Typical Low
$144.54
Median
$169.82
Typical High
$223.87
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$112.20
Median
$269.15
Typical High
$524.81
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$85.11
Median
$89.13
Typical High
$89.13
BCBS Minnesota
Setting
Facility
Modifier
None
Typical Low
$144.54
Median
$309.03
Typical High
$489.78
BCBS Minnesota
Setting
Professional
Modifier
None
Typical Low
$31.62
Median
$35.48
Typical High
$39.81
BCBS Mississippi
Setting
Facility
Modifier
None
Typical Low
$123.03
Median
$123.03
Typical High
$165.96
BCBS Mississippi
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
BCBS New Mexico
Setting
Facility
Modifier
None
Typical Low
$93.33
Median
$331.13
Typical High
$512.86
BCBS North Carolina
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$251.19
Typical High
$251.19
BCBS Oklahoma
Setting
Facility
Modifier
None
Typical Low
$562.34
Median
$933.25
Typical High
$1,445.44
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$112.20
Median
$199.53
Typical High
$263.03
BCBS South Carolina
Setting
Facility
Modifier
None
Typical Low
$144.54
Median
$234.42
Typical High
$416.87
BCBS Texas
Setting
Facility
Modifier
None
Typical Low
$128.82
Median
$295.12
Typical High
$537.03
BCBS Vermont
Setting
Facility
Modifier
None
Typical Low
$316.23
Median
$316.23
Typical High
$363.08
Blue Shield
Setting
Facility
Modifier
None
Typical Low
$85.11
Median
$128.82
Typical High
$309.03
Cigna
Setting
Facility
Modifier
None
Typical Low
$288.40
Median
$2,290.87
Typical High
$7,244.36
Cigna
Setting
Professional
Modifier
None
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
DeanCare
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
DeanCare
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$109.65
Typical High
$147.91
Denver HMP
Setting
Facility
Modifier
None
Typical Low
$128.82
Median
$128.82
Typical High
$181.97
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$34.67
Median
$34.67
Typical High
$56.23
Fallon Health
Setting
Facility
Modifier
None
Typical Low
$83.18
Median
$3,630.78
Typical High
$9,772.37
Florida Blue
Setting
Facility
Modifier
None
Typical Low
$288.40
Median
$676.08
Typical High
$2,041.74
Florida Blue
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$107.15
Typical High
$223.87
Hally Health
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$109.65
Typical High
$407.38
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$389.05
Median
$389.05
Typical High
$549.54
Hometown Health
Setting
Professional
Modifier
None
Typical Low
$0.50
Median
$0.50
Typical High
$0.72
Hometown Health
Setting
Professional
Modifier
None
Typical Low
$0.50
Median
$0.50
Typical High
$0.50
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$208.93
Median
$316.23
Typical High
$436.52
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$309.03
Typical High
$478.63
MVP Health Care
Setting
Facility
Modifier
None
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,479.11
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Mass General Brigham
Setting
Facility
Modifier
None
Typical Low
$257.04
Median
$263.03
Typical High
$407.38
Medcost
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$141.25
Typical High
$199.53
Medica
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$162.18
Typical High
$295.12
Medical Mutual of Ohio
Setting
Facility
Modifier
None
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
Medical Mutual of Ohio
Setting
Professional
Modifier
None
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
Moda Health
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$457.09
Typical High
$1,174.90
Moda Health
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Molina
Setting
Professional
Modifier
None
Typical Low
$23.44
Median
$30.20
Typical High
$50.12
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$467.74
Median
$524.81
Typical High
$630.96
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$954.99
Typical High
$2,187.76
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
Prevea360
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Priority Health
Setting
Professional
Modifier
None
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
Providence
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$199.53
Typical High
$1,819.70
Providence
Setting
Professional
Modifier
None
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
Quartz
Setting
Professional
Modifier
None
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$190.55
Median
$323.59
Typical High
$478.63
Select Health
Setting
Facility
Modifier
None
Typical Low
$131.83
Median
$218.78
Typical High
$5,011.87
Select Health
Setting
Professional
Modifier
None
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$7,585.78
Sentara
Setting
Facility
Modifier
None
Typical Low
$407.38
Median
$891.25
Typical High
$11,481.54
SummaCare
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$75.86
Median
$104.71
Typical High
$169.82
United
Setting
Facility
Modifier
None
Typical Low
$120.23
Median
$229.09
Typical High
$389.05
Well Sense
Setting
Facility
Modifier
None
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$3,630.78
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$40.74
Median
$40.74
Typical High
$40.74
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
MountainHealth Co-op
Setting
Facility
Modifier
CSTM-00
Typical Low
$223.87
Median
$223.87
Typical High
$363.08

What it costs in each state

The same service costs 19.1 times more in Iowa than in Indiana. 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.

Touch or drag across the chart to see any state's rate.

IA $501IN $26.30

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.