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Level 2 Type B Emergency Department Visit

Georgia 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?

$40.74

Typical physician fee. In Georgia, October 2026.

Insurers have agreed to pay about $40.74 for this service. Most negotiated rates run $38.02 to $56.23.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,698 · 10th to 90th $269 to $2,630Professionalmedian $38 · 10th to 90th $37 to $126
$50$100$200$500$1K$2Kfacility $1,698professional $38

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
$125.89
Median
$125.89
Typical High
$125.89
Aetna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$426.58
Median
$1,778.28
Typical High
$2,630.27
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$36.31
Median
$38.02
Typical High
$40.74
Cigna
Setting
Professional
Modifier
None
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$467.74
Median
$524.81
Typical High
$630.96

Where Georgia sits

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.

Georgia· 33rd of 51

$40.74

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.