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Annual Alcohol Misuse Screening

Illinois rates for HCPCS G0442

Annual alcohol misuse screening, 5 to 15 minutes

Rates data updated July 2026.

How much does Annual Alcohol Misuse Screening cost?

$15.14

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $15.14 for this service. The price depends on where it is billed: about $15.14 from a physician practice, and about $57.54 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$15.14$9.33 to $19.95
FacilityA hospital or hospital-owned outpatient department$57.54$17.78 to $70.79

How much rates vary

Facilitymedian $58 · 10th to 90th $8 to $85Professionalmedian $15 · 10th to 90th $8 to $23
$10$20$50$100facility $58professional $15

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
$8.13
Median
$17.78
Typical High
$117.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$13.80
Typical High
$21.88
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$17.38
Typical High
$20.42
BCBS
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$66.07
Typical High
$75.86
BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$15.49
Typical High
$22.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$19.05
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$25.12
Typical High
$40.74
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
$10.96
Median
$11.22
Typical High
$22.91
Molina
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$56.23
Typical High
$100.00
United
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$22.39
Typical High
$39.81

Where Illinois sits

The same service costs 1.9 times more in Minnesota than in Delaware. 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· 21st of 51

$15.14

MN $22.39DE $12.02

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.