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Moderate Sedation for GI Endoscopy, Initial 15 Minutes

New York 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?

$99.62

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

Insurers have agreed to pay about $99.62 for this procedure. That total is two separate charges: $54.95 to the doctor who performs it, and $44.67 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 11 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$54.95$6.03 to $77.62
Facility feeThe hospital or surgery center$44.67$5.37 to $182

How much rates vary

Facilitymedian $45 · 10th to 90th $4 to $501Professionalmedian $55 · 10th to 90th $5 to $102
$5$20$100$500facility $45professional $55

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
$4.27
Median
$44.67
Typical High
$501.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$7.08
Typical High
$63.10
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$5.01
Typical High
$57.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$72.44
Typical High
$104.71
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$7.59
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$81.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$7.41
Typical High
$7.41
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$10.00
Typical High
$22.39
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$102.33
Typical High
$138.04
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$70.79
Typical High
$128.82
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$257.04
Typical High
$263.03
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$199.53
Typical High
$223.87
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$53,703.18
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$77.62
Typical High
$147.91
United
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$23.99
Typical High
$61.66
United
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$79.43
Typical High
$131.83
Univera
Setting
Facility
Modifier
Global
Typical Low
$3.63
Median
$6.03
Typical High
$6.03
Univera
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$61.66
Typical High
$104.71

Where New York 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 York· 9th of 46

$99.62

$54.95 physician + $44.67 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.