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Disability Evaluation by the Treating Doctor

Illinois rates for HCPCS 99455

A dedicated visit in which the doctor already treating the patient assesses a work-related injury or disability claim: reviewing the history and records, examining the patient, forming an opinion on capability and restrictions, and completing the required reports and forms. It is separate from ordinary treatment of the condition itself.

Rates data updated October 2026.

How much does Disability Evaluation by the Treating Doctor cost?

$295

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $295 for this service. The price depends on where it is billed: about $295 from a physician practice, and about $1,000 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$295$85.11 to $347
FacilityA hospital or hospital-owned outpatient department$1,000$631 to $2,630

How much rates vary

Facilitymedian $1,000 · 10th to 90th $562 to $4,467Professionalmedian $295 · 10th to 90th $85 to $347
$50$100$200$500$1K$2K$5Kfacility $1,000professional $295

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
Aetna
Setting
Professional
Modifier
None
Typical Low
$85.11
Median
$85.11
Typical High
$125.89
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$42.66
Median
$42.66
Typical High
$42.66
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$12.88
Median
$12.88
Typical High
$12.88
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$8.51
Median
$8.51
Typical High
$8.51
Ambetter
Setting
Professional
Modifier
None
Typical Low
$31.62
Median
$39.81
Typical High
$39.81
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$588.84
Median
$1,174.90
Typical High
$4,677.35
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
Cigna
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$245.47
Typical High
$10,000.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$213.80
Median
$275.42
Typical High
$363.08
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$275.42
Median
$275.42
Typical High
$295.12
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
United
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$251.19
Typical High
$331.13

Where Illinois sits

The same service costs 6.6 times more in Illinois than in Missouri. 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· 1st of 51

$295

IL $295MO $44.67

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.