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See a sample rate comparisonHCPCS G0281 Fee Schedule
Medicare rates as of October 2026
HCPCS G0281 is classified under Procedures / Professional Services, in the Miscellaneous Diagnostic and Therapeutic Services subgroup.
Electrical stimulation, (unattended), to one or more areas, for chronic Stage III and Stage IV pressure ulcers, arterial ulcers, diabetic ulcers, and venous statsis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Miscellaneous Diagnostic and Therapeutic Services |
| Complexity Level | Low |
| Medicare Fee Schedule | $11.69 national non-facility rate (2026) · View Medicare rates for G0281 |
| Medicaid Fee Schedule | $10.43 median of the 8 states in the free preview · View Medicaid rates for G0281 |
National average reimbursement for HCPCS G0281 by major payers:
$25.42
BCBS / Anthem
$16.81
UnitedHealthcare
$12.93
Aetna
$12.59
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS G0281.
HCPCS G0281
5 of 25 sample ratesHigher to lower in this preview
Piedmont Newton Ekg Billing LLC
Piedmont Newton Hospital Inc
$32.90Published rateBrooks County Hospital
$18.31Published rateNortheast Georgia Medical Center, Inc.
Gainesville Radiology Group
$14.06Published rateJulie Webster
Carolina Radiology Associates, LLC
$13.35Published rateOmega Hospital LLC
Omega Hospital, LLC
$9.31Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0281 vs. Other Miscellaneous Diagnostic and Therapeutic Services Codes
The table lists codes related to G0281. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G0279-HCPCS | Low | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
| G0281-HCPCS | Low | Electrical stimulation, (unattended), to one or more areas, for chronic Stage III and Stage IV pressure ulcers, arterial ulcers, diabetic ulcers, and venous statsis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care |
| G0282-HCPCS | Low | Electrical stimulation, (unattended), to one or more areas, for wound care other than described in G0281 |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0281. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0281 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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