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Moderate Sedation for GI Endoscopy, Initial 15 Minutes

New Jersey 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?

$48.98

Typical physician fee. In New Jersey, July 2026.

Insurers have agreed to pay about $48.98 for this service. Most negotiated rates run $5.50 to $57.54.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $60 · 10th to 90th $5 to $66Professionalmedian $49 · 10th to 90th $5 to $72
$5$10$20$50$100$200facility $60professional $49

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
$60.26
Typical High
$66.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$22.39
Typical High
$66.07
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$4.90
Typical High
$61.66
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$5.75
Typical High
$14.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$95.50
Typical High
$138.04
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$57.54
Typical High
$93.33
United
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$45.71
Typical High
$100.00

Where New Jersey sits

The same service costs 8.1 times more in North Dakota 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.

New Jersey· 6th of 51

$48.98

ND $57.54LA $7.08

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.