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See a sample rate comparisonHCPCS G0238 Fee Schedule
Medicare rates as of October 2026
HCPCS G0238 is classified under Procedures / Professional Services, in the Miscellaneous Diagnostic and Therapeutic Services subgroup.
Therapeutic procedures to improve respiratory function, other than described by G0237, one on one, face to face, per 15 minutes (includes monitoring)
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Miscellaneous Diagnostic and Therapeutic Services |
| Complexity Level | Low |
| Medicare Fee Schedule | $11.36 national non-facility rate (2026) · View Medicare rates for G0238 |
| Medicaid Fee Schedule | $9.10 median of the 7 states in the free preview · View Medicaid rates for G0238 |
National average reimbursement for HCPCS G0238 by major payers:
$15.45
BCBS / Anthem
$14.22
UnitedHealthcare
$11.39
Aetna
$11.49
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS G0238.
HCPCS G0238
5 of 25 sample ratesHigher to lower in this preview
Slidell Memorial Hospital, Md Imaging Slidell
Slidell Memorial Hospital
$64.97Published rateThe Hospital Authority Of Miller County, Miller County Hospital - Pro Fees
The Hospital Authority Of Miller County
$23.45Published rateAtlanta Vamc
$18.00Published rateMain Line Pathology Associates, PC
Main Line Pathology Associates, P.C
$9.73Published rateMiguel Arenas
Miguel A Arenas Md PC
$7.82Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0238 vs. Other Miscellaneous Diagnostic and Therapeutic Services Codes
The table lists codes related to G0238. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G0237-HCPCS | Low | Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring) |
| G0238-HCPCS | Low | Therapeutic procedures to improve respiratory function, other than described by G0237, one on one, face to face, per 15 minutes (includes monitoring) |
| G0239-HCPCS | Low | Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, two or more individuals (includes monitoring) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0238. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0238 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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