Rate Benchmarking
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See a sample rate comparisonHCPCS G0105 Fee Schedule
Medicare rates as of October 2026
HCPCS G0105 is classified under Procedures / Professional Services, in the Screening Examinations and Disease Management Training subgroup.
Colorectal cancer screening; colonoscopy on individual at high risk
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Screening Examinations and Disease Management Training |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $378.10 national non-facility rate (2026) · View Medicare rates for G0105 |
| Medicaid Fee Schedule | $296.03 median of the 8 states in the free preview · View Medicaid rates for G0105 |
National average reimbursement for HCPCS G0105 by major payers:
$406.59
BCBS / Anthem
$472.91
UnitedHealthcare
$441.44
Aetna
$370.08
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS G0105.
HCPCS G0105
5 of 25 sample ratesHigher to lower in this preview
Jennifer Romanowicz
University Physicians Incorporated
$1,365.18Published ratePaul Rochon
University Physicians Incorporated
$1,171.61Published ratePadmini Palat
University Physicians Incorporated
$1,093.51Published rateGeorge Marzloff
University Physicians Incorporated
$933.90Published rateMichelle West
University Physicians Incorporated
$215.69Published rate
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Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
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See a sample payer proposalHCPCS G0105 vs. Other Screening Examinations and Disease Management Training Codes
The table lists codes related to G0105. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G0104-HCPCS | Low | Colorectal cancer screening; flexible sigmoidoscopy |
| G0105-HCPCS | Moderate | Colorectal cancer screening; colonoscopy on individual at high risk |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0105. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0105 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
FREE SAMPLE MARKET COMPARISON
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Bring your top codes (like HCPCS G0105) and we'll show you how you compare in 15 minutes or less.