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Moderate Sedation for GI Endoscopy, Initial 15 Minutes

Iowa 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?

$76.87

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

Insurers have agreed to pay about $76.87 for this procedure. That total is two separate charges: $12.30 to the doctor who performs it, and $64.57 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$12.30$5.50 to $67.61
Facility feeThe hospital or surgery center$64.57$9.77 to $135

How much rates vary

Facilitymedian $65 · 10th to 90th $6 to $407Professionalmedian $12 · 10th to 90th $5 to $135
$5$10$20$50$100$200$500facility $65professional $12

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
$6.17
Median
$93.33
Typical High
$446.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$8.13
Typical High
$131.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$53.70
Typical High
$89.13
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$75.86
Typical High
$295.12
Medica
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$52.48
Typical High
$131.83
Medica
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$95.50
Typical High
$363.08
Midlands
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$70.79
Typical High
$134.90
Midlands
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$112.20
Typical High
$154.88
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$15.49
Typical High
$134.90
United
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$5.62
Typical High
$57.54
United
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$50.12
Typical High
$131.83
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$10.23
Typical High
$120.23

Where Iowa 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

Iowa· 20th of 46

$76.87

$12.30 physician + $64.57 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.