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See a sample rate comparisonHCPCS G0551 Fee Schedule
Medicare rates as of October 2026
HCPCS G0551 is classified under Procedures / Professional Services, in the Other Services subgroup.
Interprofessional telephone/internet/electronic health record referral service(s) provided by a treating/requesting practitioner in a specialty whose covered services are limited by statute to services for the diagnosis and treatment of mental illness, 30 minutes
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Other Services |
| Complexity Level | Low |
| Medicare Fee Schedule | $36.74 national non-facility rate (2026) · View Medicare rates for G0551 |
| Medicaid Fee Schedule | $32.12 median of the 4 states in the free preview · View Medicaid rates for G0551 |
National average reimbursement for HCPCS G0551 by major payers:
$48.60
BCBS / Anthem
$32.83
UnitedHealthcare
$45.10
Aetna
$99.20
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS G0551.
HCPCS G0551
5 of 25 sample ratesHigher to lower in this preview
Hospital Authority Of Jefferson County And The City Of Louisville, Jefferson Hospital
Hospital Authority Of Jefferson County And The City Of Louisville
$93.08Published rateTy Cobb Healthcare System, Cobb Memorial Hospital
Community Services Group Inc
$64.62Published rateTy Cobb Healthcare System, Cobb Memorial Hospital
Community Services Group Inc
$47.20Published rateTift Regional Health System, Inc., Southwell Medical
Tift Regional Health System Inc
$41.81Published rateMichael Koch
Chestatee Pathology Associates PC
$37.86Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0551 vs. Other Other Services Codes
| Code | Complexity | Description |
|---|---|---|
| G0551-HCPCS | Low | Interprofessional telephone/internet/electronic health record referral service(s) provided by a treating/requesting practitioner in a specialty whose covered services are limited by statute to services for the diagnosis and treatment of mental illness, 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 G0551. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0551 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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