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See a sample rate comparisonHCPCS G0452 Fee Schedule
Medicare rates as of October 2026
HCPCS G0452 is classified under Procedures / Professional Services, in the Miscellaneous Services subgroup.
Molecular pathology procedure; physician interpretation and report
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Miscellaneous Services |
| Common Revenue Codes | 03000971 |
| Medicare Fee Schedule | $46.76 national non-facility rate (2026)View Medicare rates for G0452 |
| Medicaid Fee Schedule | $45.61 median of the 5 states in the free previewView Medicaid rates for G0452 |
National average reimbursement for HCPCS G0452 by major payers:
$57.90
BCBS / Anthem
$26.76
UnitedHealthcare
$47.78
Aetna
$52.66
Cigna
Compare published rates across providers.
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HCPCS G0452
5 of 25 sample ratesHigher to lower in this preview
Veronica Arteaga
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$29.88Published rateDavid Thrush
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$29.87Published rateMackenzie Evans
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$25.39Published rateZachary Adams
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$25.38Published rateBenjamin Creelan
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$0.01Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0452 vs. Other Miscellaneous Services Codes
The table lists codes related to G0452. Select one to see its fee schedule.
| Code | Description |
|---|---|
| G0451-HCPCS | Development testing, with interpretation and report, per standardized instrument form |
| G0452-HCPCS | Molecular pathology procedure; physician interpretation and report |
| G0453-HCPCS | Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition to primary procedure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0452. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0452 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 G0452?
Hospital price transparency files list HCPCS G0452 under these revenue codes: 0300 and 0971. A revenue code names the hospital department or charge category for the line; it does not change what the service is.