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See a sample rate comparisonHCPCS G0166 Fee Schedule
Medicare rates as of October 2026
HCPCS G0166 is classified under Procedures / Professional Services, in the Miscellaneous Diagnostic and Therapeutic Services subgroup.
External counterpulsation, per treatment session
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Miscellaneous Diagnostic and Therapeutic Services |
| Complexity Level | Low |
| Medicare Fee Schedule | $102.88 national non-facility rate (2026) · View Medicare rates for G0166 |
| Medicaid Fee Schedule | $87.65 median of the 8 states in the free preview · View Medicaid rates for G0166 |
National average reimbursement for HCPCS G0166 by major payers:
$148.16
BCBS / Anthem
$167.08
UnitedHealthcare
$131.50
Aetna
$114.16
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS G0166.
HCPCS G0166
5 of 25 sample ratesHigher to lower in this preview
Manisha Shah
Aspirus Rhinelander & Tomahawk Hospitals & Clinics Inc
$610.66Published rateSalim Mathew
Mass General Brigham Incorporated
$225.78Published rateSachin Goel
Methodist Hospital
$178.55Published rateMazen Ganim
Cardiovascular Association PLLC
$118.06Published rateJamil Bitar
Jamil N Bitar Md
$83.44Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0166 vs. Other Miscellaneous Diagnostic and Therapeutic Services Codes
The table lists codes related to G0166. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G0162-HCPCS | Low | Skilled services by a registered nurse (RN) for management and evaluation of the plan of care; each 15 minutes (the patient's underlying condition or complication requires an RN to ensure that essential non-skilled care achieves its purpose in the home health or hospice setting) |
| G0166-HCPCS | Low | External counterpulsation, per treatment session |
| G0168-HCPCS | Low | Wound closure utilizing tissue adhesive(s) only |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0166. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0166 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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