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Behavior Identification Assessment

Illinois rates for HCPCS 0359T

A specialist works out why difficult or unsafe behaviors are happening. It includes taking a detailed history, observing the patient directly, giving structured tests and interviewing the caregiver, then writing a report and going through the findings and recommendations with the family.

Rates data updated July 2026.

How much does Behavior Identification Assessment cost?

$288

Typical physician fee. In Illinois, July 2026.

Insurers have agreed to pay about $288 for this service. Most negotiated rates run $30.20 to $347.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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

Professionalmedian $288 · 10th to 90th $30 to $363
$50$100$200professional $288

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$302.00
Typical High
$363.08
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20

Where Illinois sits

The same service costs 1862.1 times more in Kentucky 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· 30th of 41

$288

KY $56,234ID $30.20

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.