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Iowa 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 $71 · 10th–90th $6–$4470%10%10th90th$71Professionalmedian $10 · 10th–90th $5–$1260%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
$6.03 / $93.33 / $457.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $7.76 / $117.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $53.70 / $89.13
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $75.86 / $295.12
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $52.48 / $131.83
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $95.50 / $363.08
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $70.79 / $134.90
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $112.20 / $154.88
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $60.26 / $141.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $5.62 / $57.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $47.86 / $125.89
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $10.23 / $100.00