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Home Blood Pressure Readings Review

Illinois rates for HCPCS 99474

Covers a clinician working through a set of blood pressure readings the patient has taken at home over time, using a device checked for accuracy, which the patient or a carer reports back to the practice. The clinician works out the average of those readings and then discusses a treatment plan with the patient based on what they show. It gives a picture of blood pressure in everyday life rather than from a single office measurement.

Rates data updated October 2026.

How much does Home Blood Pressure Readings Review cost?

$12.59

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $12.59 for this service. The price depends on where it is billed: about $12.59 from a physician practice, and about $79.43 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$12.59$7.41 to $13.18
FacilityA hospital or hospital-owned outpatient department$79.43$12.59 to $107

How much rates vary

Facilitymedian $79 · 10th to 90th $7 to $166Professionalmedian $13 · 10th to 90th $7 to $22
$10$20$50$100$200facility $79professional $13

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
Aetna
Setting
Facility
Modifier
None
Typical Low
$6.17
Median
$10.23
Typical High
$26.30
Aetna
Setting
Professional
Modifier
None
Typical Low
$7.41
Median
$10.23
Typical High
$12.59
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$42.66
Median
$91.20
Typical High
$186.21
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$9.77
Median
$19.50
Typical High
$28.18
Cigna
Setting
Professional
Modifier
None
Typical Low
$9.55
Median
$15.14
Typical High
$27.54
Hally Health
Setting
Professional
Modifier
None
Typical Low
$7.59
Median
$15.49
Typical High
$25.12
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
$10.47
Median
$10.72
Typical High
$22.39
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
United
Setting
Professional
Modifier
None
Typical Low
$8.51
Median
$14.45
Typical High
$23.99

Where Illinois sits

The same service costs 2.8 times more in Minnesota than in Kentucky. 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· 32nd of 51

$12.59

MN $22.91KY $8.32

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.