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Moderate Sedation for GI Endoscopy, Initial 15 Minutes

Oregon 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?

$161

Typical total for the visit. In Oregon, October 2026.

Insurers have agreed to pay about $161 for this procedure. That total is two separate charges: $53.70 to the doctor who performs it, and $107 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$53.70$9.77 to $93.33
Facility feeThe hospital or surgery center$107$93.33 to $112

How much rates vary

Facilitymedian $107 · 10th to 90th $65 to $115Professionalmedian $54 · 10th to 90th $7 to $129
$5$10$20$50$100facility $107professional $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
$5.50
Median
$8.51
Typical High
$97.72
Aetna
Setting
Professional
Modifier
None
Typical Low
$5.25
Median
$8.91
Typical High
$79.43
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$1.38
Median
$5.89
Typical High
$15.85
Cigna
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$9.77
Median
$66.07
Typical High
$169.82
Moda Health
Setting
Facility
Modifier
None
Typical Low
$7.59
Median
$56.23
Typical High
$144.54
Moda Health
Setting
Professional
Modifier
None
Typical Low
$5.75
Median
$15.49
Typical High
$120.23
Moda Health
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$1.38
Median
$1.91
Typical High
$15.85
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$67.61
Median
$107.15
Typical High
$114.82
Providence
Setting
Facility
Modifier
None
Typical Low
$4.90
Median
$67.61
Typical High
$144.54
Providence
Setting
Professional
Modifier
None
Typical Low
$10.47
Median
$53.70
Typical High
$151.36
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$9.12
Median
$18.62
Typical High
$104.71
United
Setting
Professional
Modifier
None
Typical Low
$9.33
Median
$52.48
Typical High
$147.91

Where Oregon sits

The same service costs 22.7 times more in Georgia than in Mississippi. 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

Oregon· 5th of 46

$161

$53.70 physician + $107 facility

GA $919MS $40.49

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.