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Fee-for-service rateAs of July 2026

Illinois Medicaid rate for CPT 20610

Illinois Medicaid pays $31.80 for CPT 20610 in its July 2026 fee-for-service schedule: the 4th-lowest of 44 state Medicaid programs, at 58% of the $54.825 median.

Non-facility rate
$31.80
Rank
41 of 44
vs. state median
58%
vs. IL Medicare
43-47%

What Illinois Medicaid publishes for 20610

4th-lowest of 44 · 58% of median

4th-lowest of 44 · 58% of median

Schedule
July 2026
In effect since
May 13, 2020
Prior authorization
Not published

Unmodified non-facility fee-for-service rate from the state's published file. Managed-care contracts, supplemental payments, and claim-specific adjustments can change what is paid. HFS Practitioner Fee Schedule

20610 in neighboring states

Each state's comparable non-facility rate for 20610 in its current schedule.

StateRatevs. Illinois
Iowa$62.76+97%
Indiana$58.61+84%
Kentucky$50.81+60%
Wisconsin$61.42+93%

20610 under Medicare

Medicare's 2026 non-facility payment for 20610 in Illinois is $67.88 to $74.80 across its 4 payment localities; Illinois Medicaid's rate is 43-47% of that. The national amount before geographic adjustment is $68.806.

See 20610 Medicare rates

See Illinois's full schedule: all 9,319 codes, every published period, and commercial payer rates for 20610.

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Other Illinois Medicaid rates