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Moderate Sedation for GI Endoscopy, Initial 15 Minutes

Kentucky 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?

$19.42

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

Insurers have agreed to pay about $19.42 for this procedure. That total is two separate charges: $11.48 to the doctor who performs it, and $7.94 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$11.48$5.37 to $52.48
Facility feeThe hospital or surgery center$7.94$5.75 to $44.67

How much rates vary

Facilitymedian $8 · 10th to 90th $5 to $98Professionalmedian $11 · 10th to 90th $5 to $60
$5$10$20$50$100$200facility $8professional $11

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
$4.57
Median
$10.23
Typical High
$97.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$6.92
Typical High
$64.57
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$4.90
Typical High
$4.90
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$33.88
Typical High
$52.48
CareSource
Setting
Facility
Modifier
Global
Typical Low
$5.25
Median
$6.61
Typical High
$8.51
CareSource
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$58.88
Typical High
$77.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$7.41
Typical High
$7.41
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$53.70
Typical High
$323.59
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$66.07
United
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$40.74
Typical High
$83.18

Where Kentucky 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

Kentucky· 42nd of 46

$19.42

$11.48 physician + $7.94 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.