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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 July 2026.

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

$162

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

Insurers have agreed to pay about $162 for this procedure. That total is two separate charges: $10.23 to the doctor who performs it, and $151 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$10.23$6.17 to $67.61
Facility feeThe hospital or surgery center$151$52.48 to $316

How much rates vary

Facilitymedian $151 · 10th to 90th $6 to $832Professionalmedian $10 · 10th to 90th $5 to $78
$5$20$100$500facility $151professional $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
$5.89
Median
$151.36
Typical High
$831.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$8.91
Typical High
$72.44
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$5.75
Typical High
$61.66
BCBS
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$50.12
Typical High
$95.50
BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$21.88
Typical High
$70.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$87.10
Typical High
$354.81
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$7.41
Typical High
$74.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$85.11
United
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$16.22
Typical High
$66.07
United
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$42.66
Typical High
$100.00

Where Illinois 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

Illinois· 6th of 46

$162

$10.23 physician + $151 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.