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See a sample rate comparisonHCPCS G0549 Fee Schedule
Medicare rates as of October 2026
HCPCS G0549 is classified under Procedures / Professional Services, in the Other Services subgroup.
Interprofessional telephone/internet/electronic health record assessment and management service provided by a practitioner in a specialty whose covered services are limited by statute to services for the diagnosis and treatment of mental illness, including a verbal and written report to the patient's treating/requesting practitioner; 31 or more minutes of medical consultative discussion and review
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Other Services |
| Complexity Level | Low |
| Medicare Fee Schedule | $76.49 national non-facility rate (2026) · View Medicare rates for G0549 |
| Medicaid Fee Schedule | $66.21 median of the 4 states in the free preview · View Medicaid rates for G0549 |
National average reimbursement for HCPCS G0549 by major payers:
$103.70
BCBS / Anthem
$69.75
UnitedHealthcare
$64.80
Aetna
$71.84
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS G0549.
HCPCS G0549
5 of 25 sample ratesHigher to lower in this preview
Emory Crawford Long Hospital
Emory University
$183.25Published rateBrooks County Hospital
$135.57Published rateThe Hospital Authority Of Miller County, Miller County Hospital - Pro Fees
The Hospital Authority Of Miller County
$101.70Published rateVictoria Lewis-Holland
$93.91Published rateHospital Authority Of Washington County, Washington County Regional Medical Center
Hospital Authority Of Washington County
$77.98Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0549 vs. Other Other Services Codes
| Code | Complexity | Description |
|---|---|---|
| G0549-HCPCS | Low | Interprofessional telephone/internet/electronic health record assessment and management service provided by a practitioner in a specialty whose covered services are limited by statute to services for the diagnosis and treatment of mental illness, including a verbal and written report to the patient's treating/requesting practitioner; 31 or more minutes of medical consultative discussion and review |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0549. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0549 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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