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Moderate Sedation for GI Endoscopy, Initial 15 Minutes

Montana 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?

$59.03

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

Insurers have agreed to pay about $59.03 for this procedure. That total is two separate charges: $8.91 to the doctor who performs it, and $50.12 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$8.91$5.50 to $57.54
Facility feeThe hospital or surgery center$50.12$9.55 to $97.72

How much rates vary

Facilitymedian $50 · 10th to 90th $6 to $110Professionalmedian $9 · 10th to 90th $5 to $93
$10$100$1K$10K$100Kfacility $50professional $9

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
$8.91
Median
$407.38
Typical High
$407.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$6.17
Typical High
$75.86
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$81.28
Typical High
$91.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$8.91
Typical High
$91.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$53.70
Typical High
$91.20
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$11.48
Typical High
$102.33
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$11.48
Typical High
$102.33
Providence
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$35.48
Typical High
$102.33
Providence
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$60.26
Typical High
$144.54
United
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$14.79
Typical High
$104.71

Where Montana 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

Montana· 34th of 46

$59.03

$8.91 physician + $50.12 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.