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Moderate Sedation for GI Endoscopy, Initial 15 Minutes

Michigan 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?

$77.38

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

Insurers have agreed to pay about $77.38 for this procedure. That total is two separate charges: $9.77 to the doctor who performs it, and $67.61 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$9.77$5.50 to $53.70
Facility feeThe hospital or surgery center$67.61$6.92 to $200

How much rates vary

Facilitymedian $68 · 10th to 90th $6 to $363Professionalmedian $10 · 10th to 90th $5 to $72
$5$20$100$500facility $68professional $10

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
$5.50
Median
$52.48
Typical High
$199.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$7.24
Typical High
$63.10
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$5.25
Typical High
$10.47
BCBS
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$363.08
Typical High
$691.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$10.47
Typical High
$128.82
CareSource
Setting
Facility
Modifier
Global
Typical Low
$4.37
Median
$6.92
Typical High
$8.13
CareSource
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$67.61
Typical High
$77.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$53.70
Typical High
$58.88
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$64.57
Typical High
$162.18
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$51.29
Typical High
$81.28
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$56.23
Typical High
$67.61
United
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$8.91
Typical High
$52.48
United
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$48.98
Typical High
$83.18

Where Michigan 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

Michigan· 18th of 46

$77.38

$9.77 physician + $67.61 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.