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See a sample rate comparisonHCPCS G0509 Fee Schedule
Medicare rates as of October 2026
HCPCS G0509 is classified under Procedures / Professional Services, in the Other Services subgroup.
Telehealth consultation, critical care, subsequent, physicians typically spend 50 minutes communicating with the patient and providers via telehealth
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Other Services |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $176.36 national non-facility rate (2026) · View Medicare rates for G0509 |
| Medicaid Fee Schedule | $159.35 median of the 6 states in the free preview · View Medicaid rates for G0509 |
National average reimbursement for HCPCS G0509 by major payers:
$230.53
BCBS / Anthem
$249.48
UnitedHealthcare
$195.08
Aetna
$199.70
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS G0509.
HCPCS G0509
5 of 25 sample ratesHigher to lower in this preview
David Epstein
Brevard Physician Associates, PLLC
$537.05Published rateDavid Epstein
Radiology Associates Of Clearwater, P.A.
$405.75Published rateJulie Webster
Carolina Radiology Associates, LLC
$251.94Published rateTexas Radiology Associates LLP
Texas Radiology Associates, LLP
$217.00Published rateMain Line Pathology Associates, PC
Main Line Pathology Associates, P.C
$197.77Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0509 vs. Other Other Services Codes
The table lists codes related to G0509. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G0508-HCPCS | Moderate | Telehealth consultation, critical care, initial , physicians typically spend 60 minutes communicating with the patient and providers via telehealth |
| G0509-HCPCS | Moderate | Telehealth consultation, critical care, subsequent, physicians typically spend 50 minutes communicating with the patient and providers 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 G0509. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0509 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
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