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Virginia 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 $9 · 10th–90th $5–$1260%10%20%10th90th$9Professionalmedian $15 · 10th–90th $4–$780%20%10th90th$15$0.0$0.2$2.0$20.0$200.0$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 / $107.15 / $281.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $7.76 / $66.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.02 / $6.17 / $79.43
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $79.43 / $117.49
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.25 / $35.48 / $93.33
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $5.13 / $91.20
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $6.46 / $12.02
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $67.61 / $123.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.07 / $4.07 / $41.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $35.48 / $93.33