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See a sample rate comparisonHCPCS G0514 Fee Schedule
Medicare rates as of October 2026
HCPCS G0514 is classified under Procedures / Professional Services, in the Other Services subgroup.
Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; each additional 30 minutes (list separately in addition to code G0513 for additional 30 minutes of preventive service)
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Other Services |
| Complexity Level | Low |
| Medicare Fee Schedule | $64.80 national non-facility rate (2026) · View Medicare rates for G0514 |
| Medicaid Fee Schedule | $56.41 median of the 8 states in the free preview · View Medicaid rates for G0514 |
National average reimbursement for HCPCS G0514 by major payers:
$82.91
BCBS / Anthem
$81.28
UnitedHealthcare
$63.78
Aetna
$67.80
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS G0514.
HCPCS G0514
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$158.53Published rateDevon Daney
Aztec Urgent Care LLC
$114.08Published rateJulie Webster
Carolina Radiology Associates, LLC
$84.90Published rateBama Heart Doc, P.C., Alabama Heart And Vascular Medicine
Bama Heart Doc, PC Dba Alabama Heart & Vascular Medicine
$68.38Published rateMiguel Arenas
Miguel A Arenas Md PC
$50.45Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0514 vs. Other Other Services Codes
The table lists codes related to G0514. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G0513-HCPCS | Low | Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; first 30 minutes (list separately in addition to code for preventive service) |
| G0514-HCPCS | Low | Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; each additional 30 minutes (list separately in addition to code G0513 for additional 30 minutes of preventive service) |
| G0516-HCPCS | Moderate | Insertion of non-biodegradable drug delivery implants, 4 or more (services for subdermal rod implant) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0514. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0514 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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