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See a sample rate comparisonHCPCS G2211 Fee Schedule
Medicare rates as of October 2026
HCPCS G2211 is classified under Procedures / Professional Services, in the Evaluation and Care Management Services subgroup.
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to home or residence or office/outpatient evaluation and management service, new or established)
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Evaluation and Care Management Services |
| Complexity Level | Low |
| Medicare Fee Schedule | $17.37 national non-facility rate (2026) · View Medicare rates for G2211 |
| Medicaid Fee Schedule | $14.90 median of the 8 states in the free preview · View Medicaid rates for G2211 |
National average reimbursement for HCPCS G2211 by major payers:
$19.18
BCBS / Anthem
$21.63
UnitedHealthcare
$3.69
Aetna
$17.43
Cigna
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HCPCS G2211
5 of 25 sample ratesHigher to lower in this preview
Serena Wong
$104.37Published rateJorge Osorio
Emergency Associates Of The Ironbound PA
$15.89Published rateHealth Med Associates P.C.
$13.72Published rateSung Won Lee Md PC
$11.43Published rateDiego Morreale
Ramtown Medical Center LLC
$10.52Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G2211 vs. Other Evaluation and Care Management Services Codes
The table lists codes related to G2211. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G2210-HCPCS | Low | Residual score for the neck impairment not measured because the patient did not complete the neck fs prom at initial evaluation and/or near discharge, reason not given |
| G2211-HCPCS | Low | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to home or residence or office/outpatient evaluation and management service, new or established) |
| G2212-HCPCS | Low | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G2211. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G2211 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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