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Moderate Sedation for GI Endoscopy, Initial 15 Minutes

North Carolina 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?

$95.39

Typical total for the visit. In North Carolina, July 2026.

Insurers have agreed to pay about $95.39 for this procedure. That total is two separate charges: $53.70 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$53.70$7.94 to $93.33
Facility feeThe hospital or surgery center$41.69$5.89 to $64.57

How much rates vary

Facilitymedian $42 · 10th to 90th $5 to $91Professionalmedian $54 · 10th to 90th $5 to $141
$5$10$20$50$100$200$500facility $42professional $54

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
$5.37
Median
$53.70
Typical High
$467.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$7.94
Typical High
$83.18
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$57.54
Typical High
$109.65
BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$85.11
Typical High
$169.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
Medcost
Setting
Facility
Modifier
Global
Typical Low
$5.37
Median
$35.48
Typical High
$87.10
Medcost
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$144.54
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$3,715.35
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$15.49
Typical High
$134.90
United
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$40.74
Typical High
$83.18
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$478.63

Where North Carolina 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

North Carolina· 11th of 46

$95.39

$53.70 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.