Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate)
Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.
Insurance Carrier
Facility/Professional
Modifier
Typical Low
Median
Typical High
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $85.11 / $776.25
Facility
$5.01
$85.11
$776.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $8.32 / $72.44
Professional
$3.98
$8.32
$72.44
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $12.30 / $30.90
Facility
$9.77
$12.30
$30.90
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $52.48 / $112.20
Professional
$5.37
$52.48
$112.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $169.82 / $436.52
Facility
$8.71
$169.82
$436.52
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $53.70 / $67.61
Professional
$8.51
$53.70
$67.61
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.37 / $44.67 / $57.54
Facility
$4.37
$44.67
$57.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $48.98 / $102.33
Professional
$5.25
$48.98
$102.33
See more rates by state
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