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Moderate Sedation for GI Endoscopy, Initial 15 Minutes

Maryland 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?

$45.71

Typical physician fee. In Maryland, October 2026.

Insurers have agreed to pay about $45.71 for this service. Most negotiated rates run $5.75 to $56.23.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $46 · 10th to 90th $4 to $71
$5$10$20$50$100professional $46

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$3.24
Median
$9.55
Typical High
$64.57
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.65
Median
$6.46
Typical High
$12.88
Cigna
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$77.62
Typical High
$107.15
United
Setting
Professional
Modifier
None
Typical Low
$4.57
Median
$40.74
Typical High
$81.28
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$100.00
Typical High
$112.20

Where Maryland sits

The same service costs 7.6 times more in Washington than in Michigan. 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.

Maryland· 45th of 51

$45.71

WA $79.43MI $10.47

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.