CPT 99283
Emergency department visit, low complexity
- Aetna
- $89.47
- Cigna
- $150.90
- United
- $132.41
- Anthem
- $127.83
Emergency Medicine reimbursement rates in Georgia
Explore emergency medicine reimbursement rates in Georgia. Public state reference averages appear below. Detailed payer comparisons are available with a state preview.
2,540,299 national provider-rate observations4 payers in national source data50 states in national dataset7 billing codes in national dataset
Rate data shownAug 2026About these rates
Emergency Medicine rate explorerThree reference services
Rate measure$ per service
Billing contextProfessional emergency medicine
Georgia emergency medicine reference averages
Publication period: Aug 2026CPT 99284
Emergency department visit, moderate complexity
- Aetna
- $155.51
- Cigna
- $259.57
- United
- $234.20
- Anthem
- $213.40
CPT 99285
Emergency department visit, high complexity
- Aetna
- $215.22
- Cigna
- $378.54
- United
- $341.47
- Anthem
- $311.19
National emergency medicine rates by payer
Compare national payer benchmarks for common emergency department and critical care services.
Aetna state variation for 99284
LowerHigher
Georgia
Select a state to reveal payer percentiles and provider examples.National 99284 rate distribution
PayerMedian
Published rate$ per service
$100$150$200$250$300
AetnaAug 2026
AetnaProviders62,242Average$154.35
$122.73median
CignaAug 2026
CignaProviders92,588Average$252.41
$221.85median
UnitedAug 2026
UnitedProviders74,036Average$228.69
$208.09median
AnthemAug 2026
AnthemProviders126,368Average$252.50
$245.12median
Each marker shows the national median published rate across billing entities for that payer.
National 99284 rates by payer
| Payer | Rate period | Provider entities | P25 | Median | P75 | P90 | Average |
|---|---|---|---|---|---|---|---|
| Aetna | Aug 2026 | 62,242 | $122.73 | $154.35 | |||
| Cigna | Aug 2026 | 92,588 | $221.85 | $252.41 | |||
| United | Aug 2026 | 74,036 | $208.09 | $228.69 | |||
| Anthem | Aug 2026 | 126,368 | $245.12 | $252.50 |
About these rates
About this rate table
- Source
- Negotiated or fee-schedule amounts published directly by payers in their machine-readable files.
- Rate shown
- Published commercial rate for emergency department visit, high severity (99284).
- Method
- Eligible rates are grouped by payer and billing entity so the benchmarks use a consistent service and billing basis.
The state map uses one consistent Aetna reference series; it does not average already-aggregated payer values. The service-line table keeps unlike codes, settings, and billing units in separate comparisons.
How do specific emergency medicine providers compare?
Compare named provider rates with the selected payer's median and percentile distribution.
National: Emergency medicine provider rates by payer (CPT 99284)
| Provider entity | State | Size | $ per service | Gap to median | Position in Aetna range |
|---|---|---|---|---|---|
| WECARE HEALTH CLINICNPI 1013236975 · Tax ID 841850569 | AL | 4 | $78.30 | -$44.43 | Below P25 |
| DUPONT ANESTHESIA PSCNPI 1508851171 · Tax ID 611121906 | FL | 31 | $92.35 | -$30.38 | Below P25 |
| KEJO MEDICAL PLLCNPI 1548524861 · Tax ID 813502792 | TN | 5 | $108.78 | -$13.95 | P25 to median |
| LITTLE LANTERN CLINIC LLCNPI 1053501809 · Tax ID 831807390 | TX | 26 | $116.55 | -$6.18 | P25 to median |
| PUBLIC HOSPITAL DISTRICT 3 OF PACIFIC COUNTYNPI 1609292671 · Tax ID 916001012 | NY | 86 | Median to P75 | ||
| EMERGENCY PHYSICIAN ASSOCIATES OF SOUTH JERSEY P CNPI 1003009630 · Tax ID 223586506 | NY | 529 | Above P75 |
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No trial or data preparation required.How reimbursement changes across emergency medicine services
Keep emergency department levels and time-based critical care services in their own code and billing context so payer rates remain comparable.
| Service line / billing code | Aetna | Cigna | United | Anthem |
|---|---|---|---|---|
$ per service · 5 codes | ||||
99281Emergency department visit, minimal complexity | $34.76 | $38.83 | $38.08 | $46.42 |
99282Emergency department visit, straightforward complexity | $58.02 | $86.13 | $81.49 | $90.66 |
99283Emergency department visit, low complexity | $88.82 | $144.96 | $127.69 | $159.56 |
99284Emergency department visit, moderate complexity | $154.35 | $252.41 | $228.69 | $252.50 |
99285Emergency department visit, high complexity | $219.09 | $367.40 | $331.77 | $362.69 |
$ per service · 2 codes | ||||
99291Critical care, first 30–74 minutes | $332 | $527.70 | $512.63 | $496.76 |
99292Critical care, each additional 30 minutes | $153.87 | $240.81 | $227.34 | $208.89 |
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Book a 20-min scoping call No trial or data preparation required.How these emergency medicine rates are calculated
We start with negotiated or fee-schedule rates published in payer machine-readable files and included in the underlying professional emergency medicine report. For each selected billing code, eligible records are grouped by payer and summarized as averages and percentile distributions.
- Rate sourceThe displayed amount is a negotiated professional emergency medicine rate published in a payer machine-readable file, not a paid claim, billed charge, or hospital facility payment.
- CalculationNational values summarize eligible published records across available states. State views use records associated with the selected state, and averages are not weighted by encounter volume or acuity mix.
- Provider entityNamed examples use payer-file NPI and TIN records and may represent a physician group, staffing organization, health system, or other billing entity.
- Comparable ratesMatch the exact emergency department level or critical care time code, professional billing component, modifier, payer product, and network. Facility charges remain separate.
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- We find comparable ratesPayerPrice aligns billing codes, services, settings, and units.
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Explore emergency medicine rates by state
Choose a state to compare payer reference averages for common services.
How to interpret emergency medicine rates
How to interpret the selected market and payer-published rates.
Which emergency medicine codes are included?
The public view focuses on emergency department evaluation and management codes 99281 through 99285 and critical care codes 99291 and 99292.
Why should emergency department levels be compared separately?
Each level represents a different intensity of evaluation and management. Mixing levels can obscure the rate attached to the actual billed service.
Do these rates include the hospital facility charge?
No. This report is configured for professional emergency medicine services, so facility charges should be analyzed separately.
How should critical care rates be compared?
Compare the initial critical care code separately from each additional time increment. Confirm documented time, code combination, professional billing context, payer product, and network.
How are named emergency medicine providers selected?
The public table selects billing entities across each payer's published rate range. An entity may represent a physician group, health system, staffing organization, or other contracted billing organization.