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 G9870 Fee Schedule
Medicare rates as of October 2026
HCPCS G9870 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, more than 20 minutes
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Additional Assorted Quality Measures |
| Complexity Level | Low |
| Medicare Fee Schedule | $44.76 national non-facility rate (2026) · View Medicare rates for G9870 |
| Medicaid Fee Schedule | $45.08 median of the 3 states in the free preview · View Medicaid rates for G9870 |
National average reimbursement for HCPCS G9870 by major payers:
$61.78
BCBS / Anthem
$61.20
UnitedHealthcare
$46.53
Aetna
$48.35
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS G9870.
HCPCS G9870
5 of 25 sample ratesHigher to lower in this preview
Jayne Bernier
Radiology Associates Of Clearwater, P.A.
$100.51Published rateCarolina Radiology Associates LLC
Carolina Radiology Associates, LLC
$73.62Published rateAtlanta Vamc
$63.47Published rateChristopher Raio
St Francis Hospital
$51.17Published rateTexas Radiology Associates LLP
Texas Radiology Associates, LLP
$41.11Published rate
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 G9870 vs. Other Additional Assorted Quality Measures Codes
The table lists codes related to G9870. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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 |
| G9873-HCPCS | Low | First Medicare Diabetes Prevention Program (MDPP) core session was attended by an MDPP beneficiary under the MDPP Expanded Model (EM). A core session is an MDPP service that: (1) is furnished by an MDPP supplier during months 1 through 6 of the MDPP services period; (2) is approximately 1 hour in length; and (3) adheres to a CDC-approved DPP curriculum for core sessions |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G9870. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G9870 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 G9870) and we'll show you how you compare in 15 minutes or less.