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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 October 2026.

How much does Behavior Identification Assessment cost?

$30.20

Typical physician fee. In Illinois, October 2026.

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

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

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
Cigna
Setting
Professional
Modifier
None
Typical Low
$288.40
Median
$288.40
Typical High
$363.08
Hally Health
Setting
Professional
Modifier
None
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$30.20

Where Illinois sits

The same service costs 17.4 times more in Idaho than in South Carolina. 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· 37th of 39

$30.20

ID $525SC $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.