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Alcohol or Substance Misuse Assessment, 5-14 Minutes

Illinois rates for HCPCS G2011

Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention, 5-14 minutes

Rates data updated July 2026.

How much does Alcohol or Substance Misuse Assessment, 5-14 Minutes cost?

$16.22

Typical physician fee. In Illinois, July 2026.

Insurers have agreed to pay about $16.22 for this service. Most negotiated rates run $14.45 to $17.38.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $16 · 10th to 90th $12 to $20
$10$20professional $16

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
Professional
Modifier
Global
Typical Low
$11.75
Median
$16.22
Typical High
$18.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$22.91
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$17.38
Typical High
$27.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$20.42
Typical High
$30.90

Where Illinois sits

Rates are fairly even across states for this service. 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· 40th of 51

$16.22

MN $20.89LA $15.14

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.