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See a sample rate comparisonHCPCS G0407 Fee Schedule
Medicare rates as of October 2026
HCPCS G0407 is classified under Procedures / Professional Services, in the Followup Telehealth Consultations subgroup.
Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Followup Telehealth Consultations |
| Common Revenue Codes | 0960 |
| Medicare Fee Schedule | $63.80 national non-facility rate (2026)View Medicare rates for G0407 |
| Medicaid Fee Schedule | $56.855 median of the 8 states in the free previewView Medicaid rates for G0407 |
National average reimbursement for HCPCS G0407 by major payers:
$96.50
BCBS / Anthem
$91.09
UnitedHealthcare
$76.60
Aetna
$76.47
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS G0407.
HCPCS G0407
5 of 25 sample ratesHigher to lower in this preview
Aztec Urgent Care, LLC
Aztec Urgent Care LLC
$184.42Published rateMichael Guillette
Aztec Urgent Care LLC
$127.11Published rateJulie Webster
Musc Community Physicians
$95.58Published rateJulie Webster
Musc Community Physicians
$77.33Published rateCindy Chang
Miguel A Arenas Md PC
$57.11Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0407 vs. Other Followup Telehealth Consultations Codes
The table lists codes related to G0407. Select one to see its fee schedule.
| Code | Description |
|---|---|
| G0406-HCPCS | Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth |
| G0407-HCPCS | Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth |
| G0408-HCPCS | Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0407. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0407 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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Frequently Asked Questions
Which revenue codes are billed with HCPCS G0407?
Hospital price transparency files list HCPCS G0407 under these revenue codes: 0960. A revenue code names the hospital department or charge category for the line; it does not change what the service is.