Level 2 Type B Emergency Department Visit

North Carolina 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?

$251

Typical physician fee. In North Carolina, October 2026.

Insurers have agreed to pay about $251 for this service. Most negotiated rates run $126 to $251.

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 $126 · 10th to 90th $126 to $1,349Professionalmedian $251 · 10th to 90th $46 to $251

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 $125.89 Median $125.89 Typical High $1,348.96	Facility	None	$125.89	$125.89	$1,348.96
Aetna Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89	Professional	None	$125.89	$125.89	$125.89
BCBS North Carolina Setting Professional Modifier None Typical Low $45.71 Median $251.19 Typical High $251.19	Professional	None	$45.71	$251.19	$251.19
Cigna Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15	Professional	None	$37.15	$37.15	$37.15
Medcost Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $134.90	Facility	None	$125.89	$125.89	$134.90
Oscar Health Setting Professional Modifier None Typical Low $467.74 Median $524.81 Typical High $630.96	Professional	None	$467.74	$524.81	$630.96

Where North Carolina 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.

North Carolina· 2nd of 51

$251

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.