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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 July 2026.

How much does Chronic Kidney Disease Education, Individual cost?

$117

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $117 for this service. The price depends on where it is billed: about $117 from a physician practice, and about $145 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$117$105 to $120
FacilityA hospital or hospital-owned outpatient department$145$112 to $158

How much rates vary

Facilitymedian $145 · 10th to 90th $112 to $229Professionalmedian $117 · 10th to 90th $91 to $151
$100$200facility $145professional $117

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$158.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$107.15
Typical High
$128.82
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$102.33
Typical High
$162.18
BCBS
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$169.82
Typical High
$426.58
BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$120.23
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$120.23
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$154.88
Typical High
$275.42
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$134.90
Typical High
$144.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$151.36
United
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$125.89
Typical High
$190.55
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$134.90
Typical High
$218.78

Where Illinois sits

The same service costs 2.0 times more in Minnesota than in Louisiana. 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· 13th of 51

$117

MN $200LA $100

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.