Every state, kept current
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$29/mo7-day free trialThese pages show common-procedure samples per category. The complete all-codes Illinois schedules export as CSV with the Rates plan.
- Every code on all 51 published schedules
- Full-schedule CSV export and state network lists
- Email alerts when a state changes its rates
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Illinois's published schedules by category
Codes on the current schedule, the newest effective date, the median published rate as a percentage of national Medicare where a comparator exists, and one recognizable procedure's rate per category. Open a category for its common-procedure table.
| Category | Codes | Effective | Median % of Medicare | Example rate | PA required |
|---|---|---|---|---|---|
| Physician | 6,469 | Aug 2026 | 72.6% | $43.46 Office visit, established patient, low complexity (20-29 min) (99213) | 10 |
| Lab & Imaging | 2,095 | Jul 2026 | 68.1% | $21.18 Chest X-ray, 2 views (71046) | -- |
| DME & Supplies | 1,563 | Apr 2026 | 76.3% | $771.40 Continuous positive airway pressure (cpap) device (E0601) | -- |
| Drugs | 782 | Jul 2026 | -- | -- | -- |
| Vision | 82 | Jan 2025 | 30.9% | $60.43 Eye exam, new patient, comprehensive (92004) | -- |
| Behavioral Health | 32 | Apr 2025 | 52.5% | $68.69 Psychotherapy, 60 minutes (90837) | -- |
| Hearing | 45 | 2026 | -- | $752.00 Hearing aid, digital, binaural, bte (V5261) | -- |
| State-Specific Services | 185 | Jul 2026 | 69.6% | $24.32 Telehealth originating site facility fee (Q3014) | -- |
| Dental | Illinois's dental Medicaid rates live in the dental section, with their own per-state page. | ||||
Illinois also publishes 3 anesthesia codes (Apr 2015), too few or too old to summarize here.
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one.
Where Illinois publishes its fee schedules
- Publisher
- Illinois Department of Healthcare and Family Services (HFS)
- Program
- Illinois Medicaid
- Official source
- https://hfs.illinois.gov/medicalproviders/medicaidreimbursement.html
- Last checked
- Sep 6, 2026
ProviderSignal collects every category from the state's publication, standardizes the rows and labels each code in its own plain language. Rates are the published amounts; the state's page remains the legal source.
These are common-procedure samples. The complete Illinois schedules, every category and every code, export as CSV on the Rates plan.
Compare Illinois nationally
Frequently asked questions
Does Illinois publish a Medicaid fee schedule?
Yes. Illinois publishes 11,253 Medicaid fee-for-service procedure rates across 8 service categories, effective through Aug 2026, all collected and normalized here with plain-language procedure names. Illinois Department of Healthcare and Family Services (HFS) publishes Illinois's Medicaid fee schedules.
Who publishes Illinois's Medicaid fee schedule?
Illinois Department of Healthcare and Family Services (HFS) publishes Illinois's Medicaid fee schedules. The state's own fee-schedule page is https://hfs.illinois.gov/medicalproviders/medicaidreimbursement.html. ProviderSignal collects every category from it, standardizes the rows and re-checks the source on a rolling cadence (last checked Sep 6, 2026).
What does Illinois Medicaid pay for common services?
An established-patient office visit (99213) pays $43.46, a two-view chest X-ray (71046) $21.18 and a CPAP device (E0601) $771.40. Every figure is the state's published fee-for-service amount for the code's benchmark locality; managed-care plans can pay differently. The category pages list common procedures with plain-language names, and the complete all-codes schedules export as CSV on the Rates plan.
How do Illinois's Medicaid rates compare with Medicare?
Pooled across categories with a national Medicare comparator, Illinois's published rates run a median 71.9% of the Medicare amount, ranking 40 of 49 jurisdictions with a comparable basis.
What service categories does Illinois publish?
Physician (6,469 codes), Lab & Imaging (2,095 codes), DME & Supplies (1,563 codes), Drugs (782 codes), Vision (82 codes), Behavioral Health (32 codes), Hearing (45 codes), State-Specific Services (185 codes). Dental rates have their own section with per-state pages.
How current are these rates?
Rates come from Illinois's currently published fee schedules, the newest effective Aug 2026, and are re-collected on a rolling monthly cadence. This page updates automatically after each collection sweep.