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Moderate Sedation for GI Endoscopy, Initial 15 Minutes

Idaho 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?

$72.13

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

Insurers have agreed to pay about $72.13 for this procedure. That total is two separate charges: $10.47 to the doctor who performs it, and $61.66 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$10.47$5.50 to $60.26
Facility feeThe hospital or surgery center$61.66$7.94 to $309

How much rates vary

Facilitymedian $62 · 10th to 90th $5 to $4,169Professionalmedian $10 · 10th to 90th $5 to $102
$10$100$1Kfacility $62professional $10

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
$407.38
Typical High
$5,495.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$8.51
Typical High
$77.62
BCBS
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$41.69
Typical High
$338.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$72.44
Typical High
$107.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$4.90
Median
$37.15
Typical High
$95.50
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$74.13
Typical High
$125.89
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$77.62
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$13.18
Typical High
$93.33
Select Health
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$61.66
Typical High
$63.10
Select Health
Setting
Professional
Modifier
Global
Typical Low
$4.17
Median
$10.23
Typical High
$61.66
United
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$42.66
Typical High
$95.50

Where Idaho 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

Idaho· 24th of 46

$72.13

$10.47 physician + $61.66 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.