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Minnesota 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 $191 · 10th–90th $6–$5010%10%10th90th$191Professionalmedian $22 · 10th–90th $5–$1660%10%10th90th$22$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
$5.01 / $229.09 / $501.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $10.47 / $91.20
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $426.58 / $1,513.56
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $42.66 / $204.17
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $218.78 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $53.70 / $81.28
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $208.93 / $407.38
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $11.22 / $64.57
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $89.13 / $416.87
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $83.18 / $213.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $50.12 / $165.96