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Illinois rates for HCPCS 99201

New Outpt L1 Prob Foc H&E Strtfwd

Facilitymedian $123 · 10th–90th $72$1380%20%40%10th90th$123Professionalmedian $98 · 10th–90th $48$1820%5%10%10th90th$98$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $123.03 / $138.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $95.50 / $181.97