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Illinois rates for HCPCS H0004

Behavioral health counseling and therapy, per 15 minutes

Facilitymedian $14 · 10th–90th $14–$1820%50%90th$14Professionalmedian $15 · 10th–90th $14–$480%20%40%10th90th$15$1.0$5.0$20.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $181.97
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $14.13 / $22.91
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $10.96 / $27.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $47.86 / $47.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $19.95
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $37.15 / $56.23
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $31.62 / $38.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $18.62 / $50.12