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Alcohol Misuse Behavioral Counseling, Brief

Illinois rates for HCPCS G0443

Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes

Rates data updated July 2026.

How much does Alcohol Misuse Behavioral Counseling, Brief cost?

$25.70

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $25.70 for this service. The price depends on where it is billed: about $25.70 from a physician practice, and about $26.30 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$25.70$21.88 to $32.36
FacilityA hospital or hospital-owned outpatient department$26.30$23.44 to $26.30

How much rates vary

Facilitymedian $26 · 10th to 90th $23 to $34Professionalmedian $26 · 10th to 90th $19 to $39
$20$50$100$200facility $26professional $26

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
$23.44
Median
$26.30
Typical High
$26.92
Aetna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$23.44
Typical High
$29.51
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$32.36
Typical High
$34.67
BCBS
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$131.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$33.11
Typical High
$42.66
Cigna
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$43.65
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$33.11
Typical High
$74.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$239.88
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$30.90
Typical High
$48.98

Where Illinois sits

The same service costs 1.7 times more in Minnesota than in New Mexico. 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· 6th of 51

$25.70

MN $36.31NM $21.88

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.