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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 October 2026.

How much does Alcohol Misuse Behavioral Counseling, Brief cost?

$26.30

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $26.30 for this service. The price depends on where it is billed: about $26.30 from a physician practice, and about $148 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$26.30$23.44 to $33.11
FacilityA hospital or hospital-owned outpatient department$148$132 to $240

How much rates vary

Facilitymedian $148 · 10th to 90th $26 to $355Professionalmedian $26 · 10th to 90th $23 to $40
$20$50$100$200$500facility $148professional $26

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
$22.91
Median
$25.12
Typical High
$33.88
Aetna
Setting
Professional
Modifier
None
Typical Low
$22.91
Median
$23.44
Typical High
$26.30
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$11.48
Median
$11.75
Typical High
$13.18
Ambetter
Setting
Professional
Modifier
None
Typical Low
$25.70
Median
$25.70
Typical High
$33.88
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$131.83
Median
$147.91
Typical High
$416.87
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$33.11
Typical High
$42.66
Cigna
Setting
Professional
Modifier
None
Typical Low
$31.62
Median
$31.62
Typical High
$44.67
Hally Health
Setting
Professional
Modifier
None
Typical Low
$25.70
Median
$30.90
Typical High
$43.65
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
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
$21.88
Median
$29.51
Typical High
$50.12

Where Illinois sits

The same service costs 2.8 times more in North Dakota 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· 28th of 51

$26.30

ND $50.12NM $18.20

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.