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See a sample rate comparisonHCPCS G0136 Fee Schedule
Medicare rates as of October 2026
HCPCS G0136 is classified under Procedures / Professional Services, in the Miscellaneous Diagnostic and Therapeutic Services subgroup.
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Miscellaneous Diagnostic and Therapeutic Services |
| Complexity Level | Low |
| Medicare Fee Schedule | $20.04 national non-facility rate (2026) · View Medicare rates for G0136 |
| Medicaid Fee Schedule | $15.91 median of the 8 states in the free preview · View Medicaid rates for G0136 |
National average reimbursement for HCPCS G0136 by major payers:
$20.60
BCBS / Anthem
$17.83
UnitedHealthcare
$20.99
Aetna
$31.00
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS G0136.
HCPCS G0136
5 of 25 sample ratesHigher to lower in this preview
Rebecca Severe
Aurora Medical Group Inc
$51.99Published rateSalman Zafar
Pikeville Medical Center Inc
$26.38Published rateJoseph Forbes
Mochi Medical PA
$18.97Published rateJaneeka Benoit
Mochi Medical PA
$18.42Published rateBuford Turpin
B Paul Turpin Mdpllc
$7.98Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0136 vs. Other Miscellaneous Diagnostic and Therapeutic Services Codes
| Code | Complexity | Description |
|---|---|---|
| G0136-HCPCS | Low | Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0136. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0136 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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