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Idaho 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 $89 · 10th–90th $5–$5,4950%5%10%10th90th$89Professionalmedian $9 · 10th–90th $4–$910%10%20%10th90th$9$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
$38.02 / $316.23 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $7.76 / $72.44
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $41.69 / $338.84
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $72.44 / $107.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $53.70 / $53.70
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $46.77 / $117.49
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $14.45 / $125.89
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $77.62
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $13.18 / $89.13
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $61.66 / $97.72
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $42.66 / $93.33