Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonHCPCS G0539 Fee Schedule
Medicare rates as of October 2026
HCPCS G0539 is classified under Procedures / Professional Services, in the Other Services subgroup.
Caregiver training in behavior management/modification for caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; initial 30 minutes
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Other Services |
| Complexity Level | Low |
| Medicare Fee Schedule | $53.11 national non-facility rate (2026) · View Medicare rates for G0539 |
| Medicaid Fee Schedule | $44.415 median of the 4 states in the free preview · View Medicaid rates for G0539 |
National average reimbursement for HCPCS G0539 by major payers:
$74.73
BCBS / Anthem
$71.46
UnitedHealthcare
$46.73
Aetna
$234.92
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS G0539.
HCPCS G0539
5 of 25 sample ratesHigher to lower in this preview
Piedmont Newton Ekg Billing LLC
Piedmont Newton Hospital Inc
$143.32Published rateSmith Of Georgia, Smith Northview Hospitalists
Smith Of Georgia
$84.83Published rateChristopher Chambers
Cooperative Healthcare Services Inc
$83.11Published rateJenkins County Hospital LLC, Optim Medical Center - Jenkins
Hospital Authority Of Jenkins County Dba Jenkins County Medical Center
$70.91Published rateMichael Koch
Chestatee Pathology Associates PC
$58.06Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS G0539 vs. Other Other Services Codes
| Code | Complexity | Description |
|---|---|---|
| G0539-HCPCS | Low | Caregiver training in behavior management/modification for caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; initial 30 minutes |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0539. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0539 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
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like HCPCS G0539) and we'll show you how you compare in 15 minutes or less.