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See a sample rate comparisonHCPCS G9869 Fee Schedule
Medicare rates as of October 2026
HCPCS G9869 is classified under Procedures / Professional Services, in the Additional Assorted Quality Measures subgroup.
Receipt and analysis of remote, asynchronous images for dermatologic and/or ophthalmologic evaluation, for use only in a medicare-approved cmmi model, 10-20 minutes
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Additional Assorted Quality Measures |
| Complexity Level | Low |
| Medicare Fee Schedule | $35.74 national non-facility rate (2026) · View Medicare rates for G9869 |
| Medicaid Fee Schedule | $36.00 median of the 3 states in the free preview · View Medicaid rates for G9869 |
National average reimbursement for HCPCS G9869 by major payers:
$49.48
BCBS / Anthem
$48.87
UnitedHealthcare
$37.16
Aetna
$38.60
Cigna
Compare published rates across providers.
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HCPCS G9869
5 of 25 sample ratesHigher to lower in this preview
Kamran Rajaee
$114.87Published rateCabrini Sutherland
Surgical Specialists Of Charlotte, PA
$70.15Published rateJulie Webster
Carolina Radiology Associates, LLC
$52.72Published rateJulie Webster
Musc Community Physicians
$42.47Published rateHospital Authority Of Washington County, Washington County Regional Medical Center
Hospital Authority Of Washington County
$38.40Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G9869 vs. Other Additional Assorted Quality Measures Codes
The table lists codes related to G9869. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G9868-HCPCS | Low | Receipt and analysis of remote, asynchronous images for dermatologic and/or ophthalmologic evaluation, for use only in a medicare-approved cmmi model, less than 10 minutes |
| G9869-HCPCS | Low | Receipt and analysis of remote, asynchronous images for dermatologic and/or ophthalmologic evaluation, for use only in a medicare-approved cmmi model, 10-20 minutes |
| G9870-HCPCS | Low | Receipt and analysis of remote, asynchronous images for dermatologic and/or ophthalmologic evaluation, for use only in a medicare-approved cmmi model, more than 20 minutes |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G9869. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G9869 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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