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California rates for HCPCS G0500

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)

Facilitymedian $12 · 10th–90th $9–$620%20%10th90th$12Professionalmedian $10 · 10th–90th $5–$1290%20%10th90th$10$1.0$5.0$20.0$100.0$500.0$2.0K

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
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $70.79 / $575.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $6.92 / $102.33
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $5.62 / $10.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $12.30 / $30.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $112.20 / $177.83
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $44.67 / $131.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $53.70 / $53.70
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $53.70 / $114.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $64.57 / $128.82
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $173.78 / $173.78
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $478.63 / $478.63
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.13 / $35.48 / $104.71
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $53.70 / $128.82
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $17.78 / $190.55
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $74.13 / $97.72
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $40.74 / $93.33