Commercial rate index · state cell
Illinois healthcare rate index
Commercial contracted rates in Illinois run 0.93x the national Medicare fee schedule across the office-visit basket. On the Reddenda index, where 100 is the national standard, Illinois prints 96.7, ranked 29 of 51 states.
Index 96.7
0.93x Medicare
180,114 verified rate points
8/8 basket codes published
The basket, code by code
as of 2026-07-15| CPT | Service | State median | vs Medicare | Rate points | Tier |
|---|---|---|---|---|---|
| 99202 | Office visit, new patient, 15-29 min | $86.28 | 1.21x | 36,984 | Benchmark |
| 99203 | Office visit, new patient, 30-44 min | $106.60 | 0.97x | 13,873 | Benchmark |
| 99204 | Office visit, new patient, 45-59 min | $168.66 | 1.01x | 14,513 | Benchmark |
| 99205 | Office visit, new patient, 60-74 min | $245.78 | 1.12x | 57,731 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $50.30 | 0.88x | 12,878 | Benchmark |
| 99213 | Office visit, established patient, 20-29 min | $82.02 | 0.89x | 14,743 | Benchmark |
| 99214 | Office visit, established patient, 30-39 min | $115.00 | 0.87x | 14,588 | Benchmark |
| 99215 | Office visit, established patient, 40-54 min | $165.86 | 0.89x | 14,804 | Benchmark |
Medians computed across the full verified distribution of practice-level contracted rates in Illinois. Publication floor: 11 verified rate points and a non-degenerate spread. Denominator: CMS PFS CY2026 national non-facility. Methodology v1.0.
Documented reimbursement figures are modeled, not guaranteed. Derived from federally mandated Transparency in Coverage data (45 CFR 147.212). No PHI.
Metros in Illinois
The market is metro by metro. So is the index.
Freeport
182.51.75x Medicare
Rockford
1541.48x Medicare
Quincy
1061.02x Medicare
Kankakee
102.90.99x Medicare
Danville
102.10.98x Medicare
Chicago-Naperville-Elg
1010.97x Medicare
Peoria
100.90.97x Medicare
Champaign-Urbana
1000.96x Medicare
Mount Vernon
99.50.96x Medicare
Springfield
96.30.93x Medicare
Decatur
92.90.89x Medicare
Macomb
92.60.89x Medicare
Bloomington
91.80.88x Medicare
Effingham
91.60.88x Medicare
Charleston-Mattoon
89.90.86x Medicare
Marion-Herrin
85.60.82x Medicare
Carbondale
82.60.79x Medicare
Read it against the country.
The national standard is the RCRI print: 0.9608x Medicare, Vintage 001, established July 2026. Illinois sits below it. State cells are satellite series to the national print and carry the same frozen methodology.
Cite this page
Source: Reddenda Commercial Rate Atlas, Illinois. Reddenda. https://reddenda.health/atlas/il/
Series ID
RCRI.US.ST.ILDerivation federally mandated TiC MRFs, verified to provider identitystate grain · 180,114 verified rate pointsas of 2026-07-15 · methodology v1.0