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Fee-for-service rateAs of July 2026

Illinois Medicaid rate for CPT 99283

Illinois Medicaid pays $49.16 for CPT 99283 in its July 2026 fee-for-service schedule: the 11th-lowest of 42 state Medicaid programs, at 87% of the $56.245 median.

Non-facility rate
$49.16
Rank
32 of 42
vs. state median
87%
vs. IL Medicare
63-68%

What Illinois Medicaid publishes for 99283

11th-lowest of 42 · 87% of median

11th-lowest of 42 · 87% of median

Schedule
July 2026
In effect since
Apr 1, 2024
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

99283 in neighboring states

Each state's comparable non-facility rate for 99283 in its current schedule.

StateRatevs. Illinois
Iowa$56.15+14%
Indiana$64.70+32%
Kentucky$47.40-4%
Missouri$59.80+22%
Wisconsin$25.61-48%

99283 under Medicare

Medicare's 2026 non-facility payment for 99283 in Illinois is $72.42 to $78.55 across its 4 payment localities; Illinois Medicaid's rate is 63-68% of that. The national amount before geographic adjustment is $69.474.

See 99283 Medicare rates

See Illinois's full schedule: all 9,319 codes, every published period, and commercial payer rates for 99283.

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Other Illinois Medicaid rates