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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 July 2026.

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

$18.06

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

Insurers have agreed to pay about $18.06 for this procedure. That total is two separate charges: $9.55 to the doctor who performs it, and $8.51 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$9.55$5.37 to $53.70
Facility feeThe hospital or surgery center$8.51$5.25 to $53.70

How much rates vary

Facilitymedian $9 · 10th to 90th $5 to $363Professionalmedian $10 · 10th to 90th $5 to $65
$5$20$100$500facility $9professional $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
$4.90
Median
$51.29
Typical High
$363.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$9.12
Typical High
$60.26
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$4.90
Typical High
$61.66
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5.25
Median
$5.25
Typical High
$10.23
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$38.90
Typical High
$75.86
CareSource
Setting
Facility
Modifier
Global
Typical Low
$5.25
Median
$6.92
Typical High
$7.59
CareSource
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$63.10
Typical High
$74.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$53.70
Typical High
$53.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
United
Setting
Facility
Modifier
Global
Typical Low
$4.57
Median
$4.57
Typical High
$48.98
United
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$43.65
Typical High
$79.43

Where Indiana 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

Indiana· 43rd of 46

$18.06

$9.55 physician + $8.51 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.