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Moderate Sedation for GI Endoscopy, Initial 15 Minutes

Georgia 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?

$68.27

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

Insurers have agreed to pay about $68.27 for this procedure. That total is two separate charges: $16.98 to the doctor who performs it, and $51.29 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$16.98$5.50 to $54.95
Facility feeThe hospital or surgery center$51.29$5.13 to $288

How much rates vary

Facilitymedian $51 · 10th to 90th $5 to $5,129Professionalmedian $17 · 10th to 90th $5 to $69
$10$100$1Kfacility $51professional $17

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
$4.79
Median
$51.29
Typical High
$288.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$10.96
Typical High
$66.07
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$9.55
Typical High
$57.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$37.15
Typical High
$69.18
CareSource
Setting
Facility
Modifier
Global
Typical Low
$5.25
Median
$6.92
Typical High
$7.59
CareSource
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$67.61
Typical High
$77.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$25.70
Typical High
$95.50
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$5,128.61
Typical High
$6,025.60
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$60.26
Typical High
$131.83
United
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
United
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$47.86
Typical High
$102.33

Where Georgia 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

Georgia· 29th of 46

$68.27

$16.98 physician + $51.29 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.