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Georgia 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 $11 · 10th–90th $4–$2,1880%10%20%10th90th$11Professionalmedian $11 · 10th–90th $4–$720%20%10th90th$11$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

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 / $51.29 / $288.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $9.12 / $67.61
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $9.55 / $57.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $37.15 / $69.18
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $7.94 / $10.47
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $66.07 / $81.28
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $53.70 / $53.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $25.70 / $95.50
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,511.89 / $5,128.61 / $6,025.60
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $61.66 / $134.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $70.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $46.77 / $102.33