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See a sample rate comparisonHCPCS G0109 Fee Schedule
Medicare rates as of October 2026
HCPCS G0109 is classified under Procedures / Professional Services, in the Screening Examinations and Disease Management Training subgroup.
Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Screening Examinations and Disease Management Training |
| Complexity Level | Low |
| Medicare Fee Schedule | $16.03 national non-facility rate (2026) · View Medicare rates for G0109 |
| Medicaid Fee Schedule | $12.92 median of the 7 states in the free preview · View Medicaid rates for G0109 |
National average reimbursement for HCPCS G0109 by major payers:
$21.06
BCBS / Anthem
$19.77
UnitedHealthcare
$17.97
Aetna
$17.20
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS G0109.
HCPCS G0109
5 of 25 sample ratesHigher to lower in this preview
Matthew Lilley
Bend Memorial Clinic, PC
$44.71Published rateBradley Weisner
Urology Specialists Of The Carolinas, PLLC
$26.32Published rateChristopher Raio
Samaritan Emergency Medical Services PC
$21.91Published rateChristopher Raio
Mercy Medical Center
$18.42Published rateGeorge Hemstreet
Bama Heart Doc, PC Dba Alabama Heart & Vascular Medicine
$12.10Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0109 vs. Other Screening Examinations and Disease Management Training Codes
The table lists codes related to G0109. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G0108-HCPCS | Low | Diabetes outpatient self-management training services, individual, per 30 minutes |
| G0109-HCPCS | Low | Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes |
| G0117-HCPCS | Low | Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0109. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0109 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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