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Moderate Sedation for GI Endoscopy, Initial 15 Minutes

Missouri 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?

$49.63

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

Insurers have agreed to pay about $49.63 for this procedure. That total is two separate charges: $7.94 to the doctor who performs it, and $41.69 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$7.94$5.37 to $56.23
Facility feeThe hospital or surgery center$41.69$6.17 to $61.66

How much rates vary

Facilitymedian $42 · 10th to 90th $5 to $102Professionalmedian $8 · 10th to 90th $5 to $81
$5$10$20$50$100$200facility $42professional $8

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
$5.01
Median
$51.29
Typical High
$204.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$6.17
Typical High
$79.43
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$27.54
Typical High
$64.57
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$63.10
Typical High
$93.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$7.41
Typical High
$7.41
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
Medica
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$35.48
Typical High
$100.00
Medica
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$77.62
Typical High
$363.08
United
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$8.91
Typical High
$66.07
United
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$41.69
Typical High
$85.11

Where Missouri 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

Missouri· 35th of 46

$49.63

$7.94 physician + $41.69 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.