Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonHCPCS G9227 Fee Schedule
HCPCS G9227 is classified under Procedures / Professional Services, in the Additional Assorted Quality Measures subgroup.
Functional outcome assessment documented, care plan not documented, documentation the patient is not eligible for a care plan at the time of the encounter
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Additional Assorted Quality Measures |
| Complexity Level | Low |
National average reimbursement for HCPCS G9227 by major payers:
$63.47
BCBS / Anthem
$54.00
UnitedHealthcare
$0.36
Aetna
$1.16
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS G9227.
HCPCS G9227
No sample rates available for this payer and code. Search provider rates to explore coverage.
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS G9227 vs. Other Additional Assorted Quality Measures Codes
The table lists codes related to G9227. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G9226-HCPCS | Low | Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-Hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
| G9227-HCPCS | Low | Functional outcome assessment documented, care plan not documented, documentation the patient is not eligible for a care plan at the time of the encounter |
| G9228-HCPCS | Low | Chlamydia, gonorrhea and syphilis screening results documented (report when results are present for all of the 3 screenings) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G9227. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G9227 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
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like HCPCS G9227) and we'll show you how you compare in 15 minutes or less.