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See a sample rate comparisonHCPCS G0260 Fee Schedule
HCPCS G0260 is classified under Procedures / Professional Services, in the Miscellaneous Diagnostic and Therapeutic Services subgroup.
Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Miscellaneous Diagnostic and Therapeutic Services |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | $188.685 median of the 6 states in the free preview · View Medicaid rates for G0260 |
National average reimbursement for HCPCS G0260 by major payers:
$562.15
BCBS / Anthem
$168.58
UnitedHealthcare
$147.27
Aetna
$180.73
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS G0260.
HCPCS G0260
5 of 25 sample ratesHigher to lower in this preview
Northshore Regional Medical Center Dba The Surgery Suite, The Surgery Suite
Ochsner Clinic Foundation
$3,113.00Published rateClhg-Oakdale, LLC, Oakdale Community Hospital
Clhgoakdale LLC
$754.03Published rateNorthshore Surgical Center, LLC
Northshore Surgical Center LLC
$400.00Published rateMid City Specialty Center, LLC
Mid City Specialty Center LLC
$348.00Published rateOutpatient Eye Surgery Center
$245.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0260 vs. Other Miscellaneous Diagnostic and Therapeutic Services Codes
The table lists codes related to G0260. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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 |
| G0268-HCPCS | Low | Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0260. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0260 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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