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Texas 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 $19 · 10th–90th $5–$2090%5%10%10th90th$19Professionalmedian $11 · 10th–90th $4–$600%10%20%10th90th$11$0.1$1.0$10.0$100.0$1.0K

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
$3.02 / $223.87 / $812.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $7.08 / $61.66
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $50.12 / $52.48
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $15.85 / $28.84
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $40.74 / $47.86
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.25 / $17.38 / $19.95
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $7.59 / $13.80
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.25 / $5.50 / $64.57
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
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $173.78 / $173.78
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $478.63 / $478.63
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $35.48 / $104.71
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $16.98 / $87.10
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,951.21 / $2,951.21 / $4,677.35
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $60.26 / $158.49
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $32.36 / $97.72
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $53.70 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.37 / $4.37 / $43.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $36.31 / $85.11
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $66.07 / $79.43