search again

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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $331.13 / $707.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $125.89 / $194.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $2,511.89 / $3,311.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $38.02 / $54.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $263.03 / $588.84

See more rates by state

Want provider-level rates data? We offer custom data extracts for a reasonable fee. To learn more, please email us.