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First Hour of an IV Medicine Drip

Illinois rates for HCPCS 96365

A medicine given slowly into a vein through a drip, covering setting up the line and the first hour that the medicine runs. It includes preparing the dose, starting and monitoring the infusion, and watching for a reaction. Time beyond the first hour is billed separately.

Rates data updated July 2026.

How much does First Hour of an IV Medicine Drip cost?

$91.20

Typical physician fee. In Illinois, July 2026.

Insurers have agreed to pay about $91.20 for this service. Most negotiated rates run $74.13 to $170.

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.

How much rates vary

Professionalmedian $91 · 10th to 90th $63 to $251
$50$100$200$500professional $91

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$85.11
Typical High
$251.19
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$100.00
Typical High
$123.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$85.11
Typical High
$141.25
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$97.72
Typical High
$323.59
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$79.43
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$93.33
Typical High
$147.91

Where Illinois sits

The same service costs 3.3 times more in South Dakota than in Texas. 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· 25th of 51

$91.20

SD $204TX $61.66

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.