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Wisconsin 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 $55 · 10th–90th $5–$3090%10%10th90th$55Professionalmedian $32 · 10th–90th $5–$1380%10%10th90th$32$0.1$0.5$2.0$10.0$50.0$200.0$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
$3.98 / $295.12 / $870.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $12.30 / $114.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $56.23 / $162.18
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.37 / $6.92 / $11.22
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $63.10 / $114.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $181.97 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $53.70 / $107.15
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.68 / $37.15 / $70.79
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $18.20 / $141.25
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $51.29 / $186.21
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $109.65 / $363.08
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $64.57
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $70.79 / $144.54
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $61.66 / $204.17
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $104.71 / $173.78
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $131.83 / $363.08
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $87.10
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $87.10 / $223.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $74.13 / $74.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $19.95 / $147.91