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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 October 2026.

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

$53.70

Typical physician fee. In New Jersey, October 2026.

Insurers have agreed to pay about $53.70 for this service. Most negotiated rates run $5.37 to $60.26.

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 $6 · 10th to 90th $6 to $66Professionalmedian $54 · 10th to 90th $4 to $68
$5$10$20$50$100facility $6professional $54

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
$6.03
Median
$6.03
Typical High
$66.07
Aetna
Setting
Professional
Modifier
None
Typical Low
$5.37
Median
$13.18
Typical High
$66.07
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$1.07
Median
$6.46
Typical High
$12.88
Ambetter
Setting
Professional
Modifier
None
Typical Low
$4.90
Median
$6.31
Typical High
$61.66
AmeriHealth
Setting
Professional
Modifier
None
Typical Low
$4.79
Median
$6.92
Typical High
$15.85
Cigna
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$100.00
Typical High
$104.71
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$67.61
Typical High
$81.28
United
Setting
Professional
Modifier
None
Typical Low
$4.07
Median
$34.67
Typical High
$69.18

Where New Jersey sits

The same service costs 7.6 times more in Washington than in Michigan. 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· 17th of 51

$53.70

WA $79.43MI $10.47

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.