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Shockwave Treatment For A Musculoskeletal Site

Illinois rates for HCPCS 0101T

A machine presses against the skin and sends strong pulses of sound energy into a painful tendon, ligament or bone area, with the aim of stirring up the body's own repair response in tissue that has stopped healing on its own. It can be aimed at whichever part of the musculoskeletal system is causing trouble rather than being tied to one joint or limb. Nothing is cut or removed, and it is given as an outpatient treatment.

Rates data updated October 2026.

How much does Shockwave Treatment For A Musculoskeletal Site cost?

$363

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $363 for this service. The price depends on where it is billed: about $347 from a physician practice, and about $1,122 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$347$269 to $363
FacilityA hospital or hospital-owned outpatient department$1,122$288 to $3,236

How much rates vary

Facilitymedian $1,122 · 10th to 90th $219 to $5,888Professionalmedian $347 · 10th to 90th $115 to $513
$200$500$1K$2K$5K$10Kfacility $1,122professional $347

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
$114.82
Median
$1,862.09
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$114.82
Typical High
$181.97
BCBS
Setting
Facility
Modifier
None
Typical Low
$204.17
Median
$281.84
Typical High
$371.54
BCBS
Setting
Professional
Modifier
None
Typical Low
$331.13
Median
$363.08
Typical High
$363.08
Cigna
Setting
Facility
Modifier
None
Typical Low
$190.55
Median
$275.42
Typical High
$2,041.74
Cigna
Setting
Professional
Modifier
None
Typical Low
$104.71
Median
$489.78
Typical High
$630.96
Hally Health
Setting
Professional
Modifier
None
Typical Low
$346.74
Median
$512.86
Typical High
$660.69
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
None
Typical Low
$380.19
Median
$489.78
Typical High
$537.03
United
Setting
Facility
Modifier
None
Typical Low
$977.24
Median
$2,884.03
Typical High
$7,762.47
United
Setting
Professional
Modifier
None
Typical Low
$251.19
Median
$323.59
Typical High
$537.03
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Ambetter
Setting
Professional
Modifier
GP · Physical therapy plan
Typical Low
$87.10
Median
$87.10
Typical High
$363.08

Where Illinois sits

The same service costs 6.3 times more in Texas than in Idaho. 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.

Illinois· 23rd of 51

$363

TX $1,202ID $191

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.