Illinois Medicaid Fee Schedule

Illinois publishes 11,256 Medicaid fee-for-service rates across 9 service categories. Pooled across categories with a national Medicare comparator, Illinois's published rates run a median 71.9% of the Medicare amount, ranking 39 of 49 jurisdictions with a comparable basis.

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These 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
  • Full state Medicaid dental network lists
  • Email alerts when a state changes its rates
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Illinois's published schedules by category

Physician

6,469codes

See the schedule →

Lab & Imaging

2,095codes

See the schedule →

DME & Supplies

1,563codes

See the schedule →

Drugs

782codes

See the schedule →

Other Services

185codes

See the schedule →

Vision

82codes

See the schedule →

Hearing

45codes

See the schedule →

Behavioral Health

32codes

See the schedule →

Anesthesia

3codes

See the schedule →

Dental

Illinois's dental Medicaid rates live in the dental section.

See dental rates →

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.

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Frequently asked questions

Does Illinois publish a Medicaid fee schedule?

Yes. Illinois publishes 11,256 Medicaid fee-for-service procedure rates across 9 service categories, all collected and normalized here with plain-language procedure names.

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 39 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), Other Services (185 codes), Vision (82 codes), Hearing (45 codes), Behavioral Health (32 codes), Anesthesia (3 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 and are re-collected on a rolling monthly cadence, so most schedules here are effective 2026. This page updates automatically after each collection sweep.