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Moderate Sedation for GI Endoscopy, Initial 15 Minutes

Florida 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)

Rates data updated July 2026.

How much does Moderate Sedation for GI Endoscopy, Initial 15 Minutes cost?

$72.69

Typical total for the visit. In Florida, July 2026.

Insurers have agreed to pay about $72.69 for this procedure. That total is two separate charges: $34.67 to the doctor who performs it, and $38.02 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$34.67$5.25 to $52.48
Facility feeThe hospital or surgery center$38.02$5.89 to $57.54

How much rates vary

Facilitymedian $38 · 10th to 90th $5 to $58Professionalmedian $35 · 10th to 90th $4 to $63
$5$10$20$50$100$200facility $38professional $35

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$4.68
Median
$38.02
Typical High
$57.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$11.48
Typical High
$58.88
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$6.17
Typical High
$50.12
AvMed
Setting
Facility
Modifier
Global
Typical Low
$6.17
Median
$44.67
Typical High
$67.61
AvMed
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$54.95
Typical High
$67.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$7.41
Typical High
$169.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$52.48
Typical High
$75.86
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$36.31
United
Setting
Facility
Modifier
Global
Typical Low
$6.17
Median
$50.12
Typical High
$107.15
United
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$38.02
Typical High
$83.18
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$46.77
Typical High
$67.61

Where Florida sits

The same service costs 36.5 times more in Wyoming than in Louisiana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

Florida· 22nd of 46

$72.69

$34.67 physician + $38.02 facility

WY $437LA $11.98

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.