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Moderate Sedation for GI Endoscopy, Initial 15 Minutes

Ohio 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?

$400

Typical total for the visit. In Ohio, July 2026.

Insurers have agreed to pay about $400 for this procedure. That total is two separate charges: $11.22 to the doctor who performs it, and $389 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$11.22$5.62 to $54.95
Facility feeThe hospital or surgery center$389$51.29 to $794

How much rates vary

Facilitymedian $389 · 10th to 90th $7 to $851Professionalmedian $11 · 10th to 90th $5 to $76
$5$10$20$50$100$200$500facility $389professional $11

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
$7.08
Median
$478.63
Typical High
$851.14
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$9.55
Typical High
$64.57
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$4.90
Typical High
$7.41
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$38.90
Typical High
$83.18
CareSource
Setting
Facility
Modifier
Global
Typical Low
$5.25
Median
$6.31
Typical High
$7.59
CareSource
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$63.10
Typical High
$77.62
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
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$181.97
Typical High
$446.68
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$53.70
Typical High
$53.70
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
SummaCare
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$14.45
Typical High
$104.71
United
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$8.91
Typical High
$66.07
United
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$39.81
Typical High
$87.10

Where Ohio 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

Ohio· 2nd of 46

$400

$11.22 physician + $389 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.