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See a sample rate comparisonHCPCS G0130 Fee Schedule
Medicare rates as of October 2026
HCPCS G0130 is classified under Procedures / Professional Services, in the Miscellaneous Diagnostic and Therapeutic Services subgroup.
Single energy X-ray absorptiometry (SEXA) bone density study, one or more sites; appendicular skeleton (peripheral) (e.g., radius, wrist, heel)
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Miscellaneous Diagnostic and Therapeutic Services |
| Complexity Level | Low |
| Medicare Fee Schedule | $39.75 national non-facility rate (2026) · View Medicare rates for G0130 |
| Medicaid Fee Schedule | $33.835 median of the 8 states in the free preview · View Medicaid rates for G0130 |
National average reimbursement for HCPCS G0130 by major payers:
$44.82
BCBS / Anthem
$39.82
UnitedHealthcare
$35.88
Aetna
$40.27
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS G0130.
HCPCS G0130
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$90.62Published rateChristopher Raio
St Francis Hospital
$42.47Published rateBama Heart Doc, P.C., Alabama Heart And Vascular Medicine
Bama Heart Doc, PC Dba Alabama Heart & Vascular Medicine
$24.18Published rateKevin Schlessel
$17.70Published rateJulie Webster
Carolina Radiology Associates, LLC
$8.59Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0130 vs. Other Miscellaneous Diagnostic and Therapeutic Services Codes
The table lists codes related to G0130. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G0129-HCPCS | Low | Occupational therapy services requiring the skills of a qualified occupational therapist, furnished as a component of a partial hospitalization or intensive outpatient treatment program, per session (45 minutes or more) |
| G0130-HCPCS | Low | Single energy X-ray absorptiometry (SEXA) bone density study, one or more sites; appendicular skeleton (peripheral) (e.g., radius, wrist, heel) |
| G0141-HCPCS | Low | Screening cytopathology smears, cervical or vaginal, performed by automated system, with manual rescreening, requiring interpretation by physician |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0130. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0130 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.
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