Level 5 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 5 Type B Emergency Department Visit cost?
$191
Typical facility fee. In Vermont, October 2026.
Insurers have agreed to pay about $191 for this service. Most negotiated rates run $191 to $195.
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 3 insurance carriers under federal price transparency rules.
How much rates vary
Facilitymedian $1,413 · 10th to 90th $1,259 to $1,413Professionalmedian $191 · 10th to 90th $191 to $195
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 LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,412.54
Facility
None
$1,412.54
$1,412.54
$1,412.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$194.98
Typical High
$794.33
Professional
None
$190.55
$194.98
$794.33
BCBS Vermont
Setting
Facility
Modifier
None
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,258.93
Facility
None
$1,096.48
$1,096.48
$1,258.93
Cigna
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Professional
None
$190.55
$190.55
$190.55
Where Vermont sits
The same service costs 12.3 times more in North Carolina than in Montana. 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.