Rate Benchmarking
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See a sample rate comparisonHCPCS G9059 Fee Schedule
HCPCS G9059 is classified under Procedures / Professional Services, in the Medicare Demonstration Projects subgroup.
Oncology; practice guidelines; management differs from guidelines because the patient, after being offered treatment consistent with guidelines, has opted for alternative treatment or management, including no treatment (for use in a Medicare-approved demonstration project)
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Medicare Demonstration Projects |
| Complexity Level | Low |
National average reimbursement for HCPCS G9059 by major payers:
$52.24
BCBS / Anthem
$9.63
UnitedHealthcare
$0.26
Aetna
$4.08
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS G9059.
HCPCS G9059
5 of 25 sample ratesHigher to lower in this preview
Kamran Rajaee
$22.80Published rateJayne Bernier
Radiology Associates Of Clearwater, P.A.
$15.10Published rateJulie Webster
Carolina Radiology Associates, LLC
$9.97Published rateTexas Radiology Associates LLP
Texas Radiology Associates, LLP
$8.43Published rateCindy Chang
Miguel A Arenas Md PC
$5.98Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G9059 vs. Other Medicare Demonstration Projects Codes
The table lists codes related to G9059. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G9058-HCPCS | Low | Oncology; practice guidelines; management differs from guidelines because the treating physician disagrees with guideline recommendations (for use in a Medicare-approved demonstration project) |
| G9059-HCPCS | Low | Oncology; practice guidelines; management differs from guidelines because the patient, after being offered treatment consistent with guidelines, has opted for alternative treatment or management, including no treatment (for use in a Medicare-approved demonstration project) |
| G9060-HCPCS | Low | Oncology; practice guidelines; management differs from guidelines for reason(s) associated with patient comorbid illness or performance status not factored into guidelines (for use in a Medicare-approved demonstration project) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G9059. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G9059 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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Bring your top codes (like HCPCS G9059) and we'll show you how you compare in 15 minutes or less.