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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 July 2026.

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

$32.36

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $32.36 for this service. Most negotiated rates run $6.61 to $81.28.

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 $32 · 10th to 90th $5 to $132
$5$10$20$50$100$200professional $32

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
Professional
Modifier
Global
Typical Low
$3.55
Median
$15.14
Typical High
$64.57
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$50.12
Typical High
$109.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$52.48
Typical High
$169.82
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$12.88
Typical High
$89.13
United
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$48.98
Typical High
$128.82

Where Maine sits

The same service costs 8.1 times more in North Dakota 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.

Maine· 26th of 51

$32.36

ND $57.54LA $7.08

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.