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North Carolina 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 $37 · 10th–90th $5–$870%10%20%10th90th$37Professionalmedian $47 · 10th–90th $5–$1410%10%10th90th$47$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 / $52.48 / $83.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $8.32 / $85.11
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $57.54 / $109.65
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $85.11 / $169.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $8.71 / $8.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $53.70 / $53.70
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.37 / $35.48 / $87.10
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $52.48 / $144.54
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,715.35 / $3,715.35 / $4,570.88
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $15.49 / $134.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $40.74 / $85.11
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $173.78 / $173.78
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $363.08 / $478.63