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HCPCS G2087Medical Service

Office-based Treatment for Opioid Use Disorder

Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; at least 60 minutes in a subsequent calendar month. Clinical pricing breakdown and utilization metrics across 144 practicing doctors nationwide.

$522.60
Peer Median Charge
Gross billed rate
$286.38
Standard Baseline
Customary allowable
1.8x
National Markup
Charge vs baseline
144
Active Physicians
Billing this code
Planning care or already received a bill for CPT G2087?Calculate total facility bundle costs or generate an assertive dispute settlement offer.

Understanding This Medical Fee

Gross Charge vs Negotiated Payment: The median physician charge for this service is $522.60. However, insured patients almost never pay this full amount directly. Insurers negotiate rates down toward the $286.38 baseline.

Self-Pay & Uninsured Guidance: If you are paying without insurance or out-of-network, request a prompt-pay cash discount. Most medical practices are willing to settle self-pay bills near the customary baseline rate rather than the full gross charge.

Key Questions for Your Doctor's Billing Office:
  • "Does Dr. [Name] participate in my specific insurance plan network?"
  • "What is the total self-pay or cash rate for code G2087 if paid upfront?"
  • "Are there separate facility, anesthesia, or pathology fees associated with this procedure?"