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Massachusetts 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 $17 · 10th–90th $6–$1860%10%10th90th$17Professionalmedian $14 · 10th–90th $5–$1290%10%20%10th90th$14$1.0$10.0$100.0$1.0K$10.0K

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
$5.01 / $51.29 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $8.91 / $79.43
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.17 / $15.14 / $173.78
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $54.95 / $165.96
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $13.49 / $19.50
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $70.79 / $125.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $53.70 / $67.61
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.25 / $7.24 / $79.43
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $93.33 / $138.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $39.81 / $158.49
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $13.18
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.17 / $15.14 / $173.78
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $54.95 / $165.96
Tufts
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $8.51 / $10.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $57.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $45.71 / $158.49