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Oregon 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 $78 · 10th–90th $6–$1170%10%10th90th$78Professionalmedian $15 · 10th–90th $5–$1380%10%10th90th$15$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
$6.03 / $77.62 / $275.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $7.24 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $53.70 / $53.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $66.07 / $162.18
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.25 / $47.86 / $112.20
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $77.62 / $151.36
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67.61 / $112.20 / $112.20
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.13 / $37.15 / $107.15
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $53.70 / $144.54
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $77.62 / $147.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $46.77 / $141.25