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 G0259 Fee Schedule
HCPCS G0259 is classified under Procedures / Professional Services, in the Miscellaneous Diagnostic and Therapeutic Services subgroup.
Injection procedure for sacroiliac joint; arthrograpy
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Miscellaneous Diagnostic and Therapeutic Services |
| Complexity Level | Low |
| Medicaid Fee Schedule | $149.01 median of the 2 states in the free preview · View Medicaid rates for G0259 |
National average reimbursement for HCPCS G0259 by major payers:
$129.16
BCBS / Anthem
$54.94
UnitedHealthcare
$132.66
Aetna
$84.72
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS G0259.
HCPCS G0259
5 of 25 sample ratesHigher to lower in this preview
Houston Hospitals Inc, Houston Medical Center
Houston Hospitals Inc
$2,476.00Published rateEmory University, Emory University Hospital
$1,265.00Published rateLafayette Surgery Center Limited Partnership
$531.00Published rateCaldwell Memorial Hospital Inc
Caldwell Memorial Hospital, Inc.
$177.00Published rateRegional Eye Surgery Center,LLC
Regional Eye Surgery Center, LLC
$64.00Published 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 G0259 vs. Other Miscellaneous Diagnostic and Therapeutic Services Codes
The table lists codes related to G0259. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G0257-HCPCS | Moderate | Unscheduled or emergency dialysis treatment for an ESRD patient in a hospital outpatient department that is not certified as an ESRD facility |
| G0259-HCPCS | Low | Injection procedure for sacroiliac joint; arthrograpy |
| G0260-HCPCS | Moderate | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0259. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0259 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 G0259) and we'll show you how you compare in 15 minutes or less.