Level 2 Type B Emergency Department Visit

Kentucky 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?

$26.92

Typical negotiated rate. In Kentucky, October 2026.

Insurers have agreed to pay about $26.92 for this service. The price depends on where it is billed: about $26.92 from a physician practice, and about $145 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$26.92	$26.92 to $37.15
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$145	$129 to $537

How much rates vary

Facilitymedian $145 · 10th to 90th $65 to $589Professionalmedian $27 · 10th to 90th $23 to $129

Distribution of negotiated rates across all payers (price axis is log-scale). 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 None Typical Low $128.82 Median $128.82 Typical High $144.54	Facility	None	$128.82	$128.82	$144.54
Aetna Setting Professional Modifier None Typical Low $125.89 Median $128.82 Typical High $128.82	Professional	None	$125.89	$128.82	$128.82
Anthem BCBS Setting Facility Modifier None Typical Low $501.19 Median $562.34 Typical High $660.69	Facility	None	$501.19	$562.34	$660.69
Anthem BCBS Setting Professional Modifier None Typical Low $23.44 Median $26.92 Typical High $33.11	Professional	None	$23.44	$26.92	$33.11
Cigna Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57	Facility	None	$64.57	$64.57	$64.57
Cigna Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15	Professional	None	$37.15	$37.15	$37.15
Molina Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67	Professional	None	$44.67	$44.67	$44.67

Where Kentucky 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.

Kentucky· 50th of 51

$26.92

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.