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Moderate Sedation for GI Endoscopy, Initial 15 Minutes

Nebraska 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 October 2026.

How much does Moderate Sedation for GI Endoscopy, Initial 15 Minutes cost?

$123

Typical total for the visit. In Nebraska, October 2026.

Insurers have agreed to pay about $123 for this procedure. That total is two separate charges: $63.10 to the doctor who performs it, and $60.26 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$63.10$8.13 to $123
Facility feeThe hospital or surgery center$60.26$48.98 to $97.72

How much rates vary

Facilitymedian $60 · 10th to 90th $31 to $1,585Professionalmedian $63 · 10th to 90th $5 to $158
$5$20$100$500$2Kfacility $60professional $63

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$4.90
Median
$4.90
Typical High
$51.29
Aetna
Setting
Professional
Modifier
None
Typical Low
$4.90
Median
$12.88
Typical High
$125.89
Ambetter
Setting
Professional
Modifier
None
Typical Low
$4.68
Median
$4.68
Typical High
$4.68
BCBS Nebraska
Setting
Facility
Modifier
None
Typical Low
$44.67
Median
$60.26
Typical High
$123.03
BCBS Nebraska
Setting
Professional
Modifier
None
Typical Low
$4.47
Median
$4.68
Typical High
$4.79
Cigna
Setting
Professional
Modifier
None
Typical Low
$6.31
Median
$67.61
Typical High
$134.90
Medica
Setting
Facility
Modifier
None
Typical Low
$4.79
Median
$30.90
Typical High
$97.72
Medica
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$134.90
Typical High
$363.08
Midlands
Setting
Professional
Modifier
None
Typical Low
$8.51
Median
$89.13
Typical High
$165.96
Midlands
Setting
Professional
Modifier
None
Typical Low
$7.24
Median
$83.18
Typical High
$165.96
Oscar Health
Setting
Facility
Modifier
None
Typical Low
$1,202.26
Median
$1,819.70
Typical High
$3,890.45
United
Setting
Professional
Modifier
None
Typical Low
$8.51
Median
$81.28
Typical High
$138.04
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.98
Median
$1.23
Typical High
$10.23

Where Nebraska sits

The same service costs 22.7 times more in Georgia than in Mississippi. 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

Nebraska· 12th of 46

$123

$63.10 physician + $60.26 facility

GA $919MS $40.49

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.