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Moderate Sedation for GI Endoscopy, Initial 15 Minutes

Indiana 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?

$59.83

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

Insurers have agreed to pay about $59.83 for this procedure. That total is two separate charges: $45.71 to the doctor who performs it, and $14.13 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$45.71$5.25 to $54.95
Facility feeThe hospital or surgery center$14.13$8.51 to $51.29

How much rates vary

Facilitymedian $14 · 10th to 90th $5 to $955Professionalmedian $46 · 10th to 90th $5 to $62
$5$20$100$500$2Kfacility $14professional $46

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$4.90
Median
$5.01
Typical High
$64.57
Aetna
Setting
Professional
Modifier
None
Typical Low
$4.90
Median
$36.31
Typical High
$56.23
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$1.00
Median
$7.41
Typical High
$11.22
Ambetter
Setting
Professional
Modifier
None
Typical Low
$4.79
Median
$4.79
Typical High
$6.17
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$5.25
Median
$5.25
Typical High
$10.23
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$4.47
Median
$43.65
Typical High
$61.66
CareSource
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$54.95
Typical High
$72.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$53.70
Typical High
$323.59
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$8.51
Median
$14.45
Typical High
$2,187.76
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
None
Typical Low
$4.90
Median
$6.92
Typical High
$61.66
United
Setting
Professional
Modifier
None
Typical Low
$5.25
Median
$43.65
Typical High
$74.13

Where Indiana 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

Indiana· 34th of 46

$59.83

$45.71 physician + $14.13 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.