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Indiana 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 $10 · 10th–90th $5–$3470%10%10th90th$10Professionalmedian $10 · 10th–90th $4–$720%10%20%10th90th$10$1.0$5.0$20.0$100.0$500.0

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
$4.90 / $97.72 / $346.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $9.12 / $70.79
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $6.17 / $61.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.25 / $5.25 / $10.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $38.90 / $75.86
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.13 / $6.61 / $7.94
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $63.10 / $77.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $53.70 / $53.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $53.70 / $53.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.57 / $4.57 / $48.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $43.65 / $79.43