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Moderate Sedation for GI Endoscopy, Initial 15 Minutes

Maine 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?

$52.48

Typical physician fee. In Maine, October 2026.

Insurers have agreed to pay about $52.48 for this service. Most negotiated rates run $6.61 to $70.79.

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.

How much rates vary

Professionalmedian $52 · 10th to 90th $5 to $102
$5$10$20$50$100professional $52

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
$5.13
Median
$32.36
Typical High
$107.15
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$1.02
Median
$1.41
Typical High
$10.72
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$6.03
Median
$50.12
Typical High
$93.33
Cigna
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$6.61
Median
$37.15
Typical High
$117.49
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$5.13
Median
$32.36
Typical High
$107.15
Martin's Point
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$1.02
Median
$1.41
Typical High
$10.72
United
Setting
Professional
Modifier
None
Typical Low
$5.50
Median
$19.05
Typical High
$95.50

Where Maine 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.

Maine· 29th of 51

$52.48

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.