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Moderate Sedation for GI Endoscopy, Initial 15 Minutes

New Mexico 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?

$59.24

Typical total for the visit. In New Mexico, July 2026.

Insurers have agreed to pay about $59.24 for this procedure. That total is two separate charges: $9.12 to the doctor who performs it, and $50.12 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$9.12$5.50 to $52.48
Facility feeThe hospital or surgery center$50.12$6.76 to $91.20

How much rates vary

Facilitymedian $50 · 10th to 90th $5 to $138Professionalmedian $9 · 10th to 90th $4 to $72
$10$100$1K$10Kfacility $50professional $9

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
$6.61
Median
$63.10
Typical High
$354.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$6.61
Typical High
$72.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$56,234.13
Median
$69,183.10
Typical High
$81,283.05
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.17
Median
$38.02
Typical High
$63.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Providence
Setting
Facility
Modifier
Global
Typical Low
$4.79
Median
$36.31
Typical High
$100.00
Providence
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$53.70
Typical High
$144.54
United
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$44.67
Typical High
$102.33

Where New Mexico 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

New Mexico· 33rd of 46

$59.24

$9.12 physician + $50.12 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.