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Moderate Sedation for GI Endoscopy, Initial 15 Minutes

Illinois 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 October 2026.

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

$101

Typical total for the visit. In Illinois, October 2026.

Insurers have agreed to pay about $101 for this procedure. That total is two separate charges: $51.29 to the doctor who performs it, and $50.12 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$51.29$6.92 to $70.79
Facility feeThe hospital or surgery center$50.12$8.13 to $85.11

How much rates vary

Facilitymedian $50 · 10th to 90th $6 to $89Professionalmedian $51 · 10th to 90th $6 to $81
$5$10$20$50$100facility $50professional $51

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$5.75
Median
$8.71
Typical High
$85.11
Aetna
Setting
Professional
Modifier
None
Typical Low
$5.50
Median
$18.62
Typical High
$56.23
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$1.10
Median
$6.92
Typical High
$11.22
Ambetter
Setting
Professional
Modifier
None
Typical Low
$8.91
Median
$61.66
Typical High
$61.66
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$23.44
Median
$50.12
Typical High
$100.00
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$6.92
Median
$56.23
Typical High
$70.79
Cigna
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
Hally Health
Setting
Professional
Modifier
None
Typical Low
$7.08
Median
$66.07
Typical High
$173.78
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$6.17
Median
$7.41
Typical High
$74.13
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
United
Setting
Professional
Modifier
None
Typical Low
$6.17
Median
$43.65
Typical High
$97.72

Where Illinois sits

The same service costs 22.7 times more in Georgia than in Mississippi. 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

Illinois· 22nd of 46

$101

$51.29 physician + $50.12 facility

GA $919MS $40.49

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.