go back

Cognitive Assessment and Care Planning Visit

Illinois rates for HCPCS 99483

This is a dedicated office visit where a doctor or other qualified provider evaluates a patient's memory and thinking abilities and develops a personalized care plan based on the results. It is typically used for patients with concerns about memory loss or a diagnosed cognitive condition such as dementia, and involves input from the patient and often a caregiver.

Rates data updated October 2026.

How much does Cognitive Assessment and Care Planning Visit cost?

$240

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $240 for this service. The price depends on where it is billed: about $240 from a physician practice, and about $186 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$240$204 to $355
FacilityA hospital or hospital-owned outpatient department$186$148 to $1,122

How much rates vary

Facilitymedian $186 · 10th to 90th $132 to $3,388Professionalmedian $240 · 10th to 90th $166 to $398
$50$100$200$500$1K$2K$5Kfacility $186professional $240

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
$134.90
Median
$208.93
Typical High
$426.58
Aetna
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$199.53
Typical High
$239.88
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$79.43
Median
$93.33
Typical High
$114.82
Ambetter
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$281.84
Typical High
$457.09
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$131.83
Median
$158.49
Typical High
$4,073.80
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$281.84
Typical High
$398.11
Cigna
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$257.04
Typical High
$426.58
Hally Health
Setting
Professional
Modifier
None
Typical Low
$213.80
Median
$316.23
Typical High
$524.81
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
$229.09
Median
$239.88
Typical High
$363.08
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
None
Typical Low
$239.88
Median
$239.88
Typical High
$275.42
United
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$251.19
Typical High
$407.38

Where Illinois sits

The same service costs 2.7 times more in Alaska than in Alabama. 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· 28th of 51

$240

AK $501AL $186

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.