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CMS January 2026Clinical Laboratory Fee Schedule · Free lookup

HCPCS G0328 Medicare Lab Fee Schedule 2026

Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3

Medicare's 2026 national Clinical Laboratory Fee Schedule payment for HCPCS G0328 is $18.05, unchanged from 2025.

National rate, January 2026
National
$18.05
vs. 2025
No change
Commercial national avg.
$16.10

Filters

G0328
20262025

Select one or more years

Up to 5 codes · 4 remaining

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Clinical Lab·G0328·2026, 2025
Current rate
$18.05▲0.0%
Code description

Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3

CodeYearModifierRateDescription
G03282026none$18.05Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3
G03282026QW$18.05Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3
G03282025none$18.05Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3
G03282025QW$18.05Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3

G0328 national rate by year

Each row is the latest CMS file published that year. Change is against the year before.

CMS fileNational paymentChange
January 2026$18.05No change
January 2025$18.05No change
January 2024$18.05No change
January 2023$18.05No change
January 2022$18.05-

Since 2018 the Clinical Laboratory Fee Schedule pays one national amount per code, set from private-payer rates that laboratories report to CMS, so this figure is the same in every locality.

G0328: Medicare vs. commercial national average

The commercial national average for G0328, the mean of what BCBS, UnitedHealthcare, Aetna and Cigna publish nationwide, is $16.10, 89% of Medicare's $18.05.

  • BCBS $16.21
  • UnitedHealthcare $12.04
  • Aetna $20.37
  • Cigna $15.78

A national average, not a local rate: each payer's figure averages the unmodified, in-network professional rates it publishes for G0328 across the country in its transparency files. Contracted rates vary widely by market, provider and plan. Medicare's figure is its national Clinical Laboratory Fee Schedule payment.

Nearby codes

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Compare Medicare's rate for G0328 with published commercial rates

Search negotiated rates from more than 180 commercial payers by NPI, TIN, and ZIP code. Review historical rates or export the data through API, SQL, MCP, or bulk download.

Methodology

Rates come from the CMS Clinical Laboratory Fee Schedule (CLFS), published quarterly. Each HCPCS payment amount reflects the national CLFS payment for outpatient laboratory services.

View CMS Clinical Laboratory Fee Schedule