go back

Illinois rates for HCPCS 99211

Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional

Facilitymedian $76 · 10th–90th $8–$2000%10%20%10th90th$76Professionalmedian $22 · 10th–90th $8–$510%10%10th90th$22$0.2$1.0$5.0$20.0$100.0$500.0

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $72.44 / $147.91
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$60.26 / $91.20 / $331.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $21.38 / $50.12
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$17.38 / $33.11 / $72.44
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $22.39 / $32.36
Ambetter
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$18.62 / $22.91 / $27.54
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $38.90 / $67.61
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $19.95 / $25.70
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $134.90 / $158.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $21.88 / $37.15
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $27.54 / $64.57
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $10.72 / $27.54
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $22.39 / $28.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $27.54 / $50.12
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$24.55 / $26.30 / $79.43