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Moderate Sedation for GI Endoscopy, Initial 15 Minutes

Massachusetts 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 $14 · 10th–90th $6$790%10%20%10th90th$14Professionalmedian $14 · 10th–90th $5$1350%10%10th90th$14$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$5.13
Median
$58.88
Typical High
$190.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$6.92
Typical High
$66.07
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$15.14
Typical High
$173.78
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$54.95
Typical High
$169.82
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6.31
Median
$13.49
Typical High
$19.50
BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$37.15
Typical High
$131.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$5.37
Median
$7.41
Typical High
$79.43
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$93.33
Typical High
$141.25
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$39.81
Typical High
$158.49
Health New England
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$13.18
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$15.14
Typical High
$173.78
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$54.95
Typical High
$169.82
Tufts
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$8.32
Typical High
$10.23
United
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
United
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$47.86
Typical High
$162.18