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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.

Facilitymedian $50 · 10th–90th $6$1100%10%20%10th90th$50Professionalmedian $9 · 10th–90th $5$930%20%10th90th$9$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

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