Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonHCPCS G0179 Fee Schedule
Medicare rates as of October 2026
HCPCS G0179 is classified under Procedures / Professional Services, in the Miscellaneous Diagnostic and Therapeutic Services subgroup.
Physician or allowed practitioner re-certification for Medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Miscellaneous Diagnostic and Therapeutic Services |
| Complexity Level | Low |
| Medicare Fee Schedule | $44.42 national non-facility rate (2026) · View Medicare rates for G0179 |
| Medicaid Fee Schedule | $37.63 median of the 8 states in the free preview · View Medicaid rates for G0179 |
National average reimbursement for HCPCS G0179 by major payers:
$54.00
BCBS / Anthem
$54.25
UnitedHealthcare
$48.79
Aetna
$45.90
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS G0179.
HCPCS G0179
5 of 25 sample ratesHigher to lower in this preview
Ujuka Iloabuchi
Gwinnett Obgyn Associates Of Georgia LLC
$105.86Published rateColquitt Regional Medical Center
$93.73Published rateCarolina Radiology Associates LLC
Carolina Radiology Associates, LLC
$66.12Published rateMiguel Arenas
Miguel A Arenas Md PC
$55.20Published rateMiguel Arenas
Miguel A Arenas Md PC
$33.34Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS G0179 vs. Other Miscellaneous Diagnostic and Therapeutic Services Codes
The table lists codes related to G0179. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G0177-HCPCS | Low | Training and educational services related to the care and treatment of patient's disabling mental health problems per session (45 minutes or more) |
| G0179-HCPCS | Low | Physician or allowed practitioner re-certification for Medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
| G0180-HCPCS | Low | Physician or allowed practitioner certification for Medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0179. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0179 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
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like HCPCS G0179) and we'll show you how you compare in 15 minutes or less.