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See a sample rate comparisonHCPCS G0476 Fee Schedule
Medicare rates as of January 2026
HCPCS G0476 is classified under Procedures / Professional Services, in the Other Services subgroup.
Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Other Services |
| Common Revenue Codes | 03060300Sign up to view all 3 |
| Medicare Fee Schedule | $35.09 national lab fee schedule rate (2026)View Medicare rates for G0476 |
| Medicaid Fee Schedule | $34.645 median of the 8 states in the free previewView Medicaid rates for G0476 |
National average reimbursement for HCPCS G0476 by major payers:
$32.46
BCBS / Anthem
$24.75
UnitedHealthcare
$34.85
Aetna
$30.66
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS G0476.
HCPCS G0476
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$84.71Published rateJulie Webster
Musc Community Physicians
$38.59Published rateHospital Service District 1 Of East Baton Rouge Parish, Lane Regional Medical Center
$35.09Published rateTexas Radiology Associates LLP
Texas Radiology Associates, LLP
$18.20Published rateJeremy Kelley
Bama Heart Doc, PC Dba Alabama Heart & Vascular Medicine
$14.73Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0476 vs. Other Other Services Codes
The table lists codes related to G0476. Select one to see its fee schedule.
| Code | Description |
|---|---|
| G0475-HCPCS | Hiv antigen/antibody, combination assay, screening |
| G0476-HCPCS | Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test |
| G0480-HCPCS | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to GC/MS (any type, single or tandem) and LC/MS (any type, single or tandem and excluding immunoassays (e.g., IA, EIA, ELISA, EMIT, FPIA) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0476. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0476 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 G0476?
Hospital price transparency files list HCPCS G0476 under these revenue codes: 0306, 0300 and 0301. A revenue code names the hospital department or charge category for the line; it does not change what the service is.