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Chronic Kidney Disease Education, Individual

Illinois rates for HCPCS G0420

Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per 1 hour

Rates data updated October 2026.

How much does Chronic Kidney Disease Education, Individual cost?

$115

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $115 for this service. The price depends on where it is billed: about $115 from a physician practice, and about $162 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$115$107 to $120
FacilityA hospital or hospital-owned outpatient department$162$145 to $851

How much rates vary

Facilitymedian $162 · 10th to 90th $126 to $1,622Professionalmedian $115 · 10th to 90th $100 to $162
$50$100$200$500$1K$2Kfacility $162professional $115

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
$107.15
Median
$109.65
Typical High
$112.20
Aetna
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$109.65
Typical High
$109.65
Ambetter
Setting
Professional
Modifier
None
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$144.54
Median
$169.82
Typical High
$1,862.09
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$120.23
Typical High
$151.36
Cigna
Setting
Professional
Modifier
None
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
Hally Health
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$112.20
Typical High
$269.15
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
$131.83
Median
$134.90
Typical High
$144.54
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$141.25
United
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$123.03
Typical High
$199.53

Where Illinois sits

The same service costs 2.8 times more in Alaska than in Texas. 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· 24th of 51

$115

AK $269TX $95.50

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.