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See a sample rate comparisonHCPCS G3003 Fee Schedule
Medicare rates as of October 2026
HCPCS G3003 is classified under Procedures / Professional Services, in the Chronic Pain Management And Treatment Services subgroup.
Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care, e.g. physical therapy and occupational therapy, complementary and integrative approaches, and community-based care, as appropriate. required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; Each additional 15 minutes of chronic pain management and treatment by a physician or other qualified health care professional, per calendar month. (list separately in addition to code for g3002. when using g3003, 15 minutes must be met or exceeded.)
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Chronic Pain Management And Treatment Services |
| Complexity Level | Low |
| Medicare Fee Schedule | $31.73 national non-facility rate (2026) · View Medicare rates for G3003 |
| Medicaid Fee Schedule | $25.09 median of the 8 states in the free preview · View Medicaid rates for G3003 |
National average reimbursement for HCPCS G3003 by major payers:
$38.81
BCBS / Anthem
$38.55
UnitedHealthcare
$33.53
Aetna
$32.46
Cigna
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HCPCS G3003
5 of 25 sample ratesHigher to lower in this preview
Progressive Emergency Physicians PLLC
$116.69Published rateBrooks County Hospital
$54.75Published rateThe Baxley And Appling County Hospital Authority, Appling Healthcare System
Appling Hospital
$40.79Published rateManlio Goetzl
Scotland Memorial Hospital Incorporated
$34.20Published rateAlicia Encinas
Miguel A Arenas Md PC
$21.75Published rate
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See a sample payer proposalHCPCS G3003 vs. Other Chronic Pain Management And Treatment Services Codes
The table lists codes related to G3003. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G3002-HCPCS | Low | Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care, e.g. physical therapy and occupational therapy, complementary and integrative approaches, and community-based care, as appropriate. required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; first 30 minutes personally provided by physician or other qualified health care professional, per calendar month. (when using g3002, 30 minutes must be met or exceeded.) |
| G3003-HCPCS | Low | Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care, e.g. physical therapy and occupational therapy, complementary and integrative approaches, and community-based care, as appropriate. required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; Each additional 15 minutes of chronic pain management and treatment by a physician or other qualified health care professional, per calendar month. (list separately in addition to code for g3002. when using g3003, 15 minutes must be met or exceeded.) |
| G4000-HCPCS | Low | Dermatology mips specialty set |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G3003. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G3003 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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