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See a sample rate comparisonHCPCS G0553 Fee Schedule
Medicare rates as of October 2026
HCPCS G0553 is classified under Procedures / Professional Services, in the Other Services subgroup.
First 20 minutes of monthly treatment management services directly related to the patient's therapeutic use of the digital mental health treatment (dmht) device that augments a behavioral therapy plan, physician/other qualified health care professional time reviewing information related to the use of the dmht device, including patient observations and patient specific inputs in a calendar month and requiring at least one interactive communication with the patient/caregiver during the calendar month
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Other Services |
| Complexity Level | Low |
| Medicare Fee Schedule | $54.11 national non-facility rate (2026) · View Medicare rates for G0553 |
| Medicaid Fee Schedule | View Medicaid rates for G0553 |
National average reimbursement for HCPCS G0553 by major payers:
$71.74
BCBS / Anthem
$70.89
UnitedHealthcare
$45.39
Aetna
$249.44
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS G0553.
HCPCS G0553
5 of 25 sample ratesHigher to lower in this preview
Jacob Holloway
$171.52Published rateEmory Crawford Long Hospital
Emory University
$116.88Published rateNorthside Hospital, Inc., Northside Hospital Duluth
$92.79Published rateThe Medical Center Inc, Piedmont Columbus Regional Midtown
The Medical Center Inc
$71.66Published rateWildwood Sanitarium Incorporated, Wildwood Medical Clinic
Wildwood Sanitarium Incorporated
$56.65Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0553 vs. Other Other Services Codes
| Code | Complexity | Description |
|---|---|---|
| G0553-HCPCS | Low | First 20 minutes of monthly treatment management services directly related to the patient's therapeutic use of the digital mental health treatment (dmht) device that augments a behavioral therapy plan, physician/other qualified health care professional time reviewing information related to the use of the dmht device, including patient observations and patient specific inputs in a calendar month and requiring at least one interactive communication with the patient/caregiver during the calendar month |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0553. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0553 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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