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See a sample rate comparisonHCPCS G0439 is classified under Procedures / Professional Services, in the Counseling, Screening, and Prevention Services subgroup.
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Counseling, Screening, and Prevention Services |
| Add-on Codes | G0506G0513 |
| Common Revenue Codes | 05210510Sign up to view all 6 |
| Medicare Fee Schedule | $137.61 national non-facility rate (2026)View Medicare rates for G0439 |
| Medicaid Fee Schedule | $109.235 median of the 8 states in the free previewView Medicaid rates for G0439 |
National average reimbursement for HCPCS G0439 by major payers:

$157.71
BCBS / Anthem

$143.53
UnitedHealthcare

$138.69
Aetna

$139.82
Cigna
Choose a payer to see a sample of rates for HCPCS G0439.
Ruchi Wadhwa
Amy Solomon
Womens Care Florida, LLP
Temitope Oshodi
Florida Woman Care, LLC
Felicia Katz
Ihc Health Services Inc
Taja Josephs
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS G0439 vs. Other Counseling, Screening, and Prevention Services Codes
The table lists codes related to G0439. Select one to see its fee schedule.
| Code | Description |
|---|---|
| G0438-HCPCS | Annual wellness visit; includes a personalized prevention plan of service (PPPS), initial visit |
| G0439-HCPCS | Annual wellness visit, includes a personalized prevention plan of service (PPPS), subsequent visit |
| G0442-HCPCS | Annual alcohol misuse screening, 5 to 15 minutes |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0439. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0439 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.
Bring your top codes (like HCPCS G0439) and we'll show you how you compare in 15 minutes or less.
CMS add-on code edits list HCPCS G0439 as a primary code for these add-on codes: G0506 and G0513.
Hospital price transparency files list HCPCS G0439 under these revenue codes: including 0521, 0510, 0983, 0770 and 0960. A revenue code names the hospital department or charge category for the line; it does not change what the service is.