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 G0421 Fee Schedule
Medicare rates as of October 2026
HCPCS G0421 is classified under Procedures / Professional Services, in the Face-to-Face Educational Services subgroup.
Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Face-to-Face Educational Services |
| Medicare Fee Schedule | $27.39 national non-facility rate (2026)View Medicare rates for G0421 |
| Medicaid Fee Schedule | $20.54 median of the 8 states in the free previewView Medicaid rates for G0421 |
National average reimbursement for HCPCS G0421 by major payers:
$34.97
BCBS / Anthem
$33.53
UnitedHealthcare
$27.24
Aetna
$29.15
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS G0421.
HCPCS G0421
5 of 25 sample ratesHigher to lower in this preview
Arthur M. Blank Hospital, Inc., Arthur M. Blank Hospital
Childrens Healthcare Of Atlanta Inc
$86.20Published rateEmory Healthcare
Emory University
$45.43Published rateKristina Jimenez
Miguel A Arenas Md PC
$35.52Published rateAmy Moore
Bama Heart Doc, PC Dba Alabama Heart & Vascular Medicine
$27.51Published rateSabine Medical Center Inc, Sabine Medical Center
$25.22Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Looking for other data?
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 G0421 vs. Other Face-to-Face Educational Services Codes
The table lists codes related to G0421. Select one to see its fee schedule.
| Code | Description |
|---|---|
| G0420-HCPCS | Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour |
| G0421-HCPCS | Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour |
| G0422-HCPCS | Intensive cardiac rehabilitation; with or without continuous ECG monitoring with exercise, per session |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0421. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0421 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 G0421) and we'll show you how you compare in 15 minutes or less.