Illinois free rate reference
Illinois doula rate calculator
Use this free rate reference to understand the state payment model before estimating a claim.
Start here
Short answer
Use this free rate reference to understand the state payment model before estimating a claim.
Next step
Basic payment model
Use this as a starting point. The payer still checks eligibility, documentation, timing, and claim details.
Do not enter private client information.
Do not enter client names, dates of birth, Medicaid IDs, claim numbers, service dates tied to a person, visit notes, screenshots with client details, or other private client information here. This public tool is for general planning only.
Labor and delivery support - vaginal
$720
59409 without modifier
Labor and delivery support - cesarean
$720
59514 without modifier
Labor and delivery support - VBAC
$720
59612 without modifier
Labor and delivery support - cesarean after attempted VBAC
$720
59620 without modifier
Prenatal patient education (per 15 minutes)
$15
S9445 without modifier
Postpartum parenting education (per 15 minutes)
$15
S9444 without modifier
Postpartum visit attendance with practitioner
$50
59430 without modifier
Initial newborn visit - facilitation and attendance
$50
99381 without modifier
Doula support during or after miscarriage or abortion (per 15 minutes)
$15
T1032 without modifier
Illinois estimate pay is a saved tool
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Payment estimate
Estimate payment from state rates and service type.
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Still free
- State billing rules and source links
- Denial guides
- Educational Medicaid doula billing pages
- Printable packet worksheet