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See a sample rate comparisonHCPCS G0239 Fee Schedule
Medicare rates as of October 2026
HCPCS G0239 is classified under Procedures / Professional Services, in the Miscellaneous Diagnostic and Therapeutic Services subgroup.
Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, two or more individuals (includes monitoring)
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Miscellaneous Diagnostic and Therapeutic Services |
| Complexity Level | Low |
| Medicare Fee Schedule | $14.36 national non-facility rate (2026) · View Medicare rates for G0239 |
| Medicaid Fee Schedule | $11.915 median of the 8 states in the free preview · View Medicaid rates for G0239 |
National average reimbursement for HCPCS G0239 by major payers:
$18.59
BCBS / Anthem
$15.84
UnitedHealthcare
$13.74
Aetna
$14.15
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS G0239.
HCPCS G0239
5 of 25 sample ratesHigher to lower in this preview
St. Tammany Parish Hospital Service District No 1, St. Tammany Parish Hospital
$115.44Published rateSabine Medical Center
$40.93Published rateJulie Webster
Musc Community Physicians
$15.98Published rateGeorge Hemstreet
Bama Heart Doc, PC Dba Alabama Heart & Vascular Medicine
$12.64Published rateCarolina Radiology Associates LLC
Carolina Radiology Associates, LLC
$10.03Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0239 vs. Other Miscellaneous Diagnostic and Therapeutic Services Codes
The table lists codes related to G0239. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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) |
| G0245-HCPCS | Low | Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (LOPS) which must include: (1) the diagnosis of LOPS, (2) a patient history, (3) a physical examination that consists of at least the following elements: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of a protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear and (4) patient education |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0239. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0239 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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