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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.

Facilitymedian $151 · 10th–90th $6$8320%10%10th90th$151Professionalmedian $10 · 10th–90th $5$780%10%10th90th$10$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

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