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Moderate Sedation for GI Endoscopy, Initial 15 Minutes

South Carolina 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.

Facilitymedian $35 · 10th–90th $5$890%10%10th90th$35Professionalmedian $35 · 10th–90th $5$680%10%20%10th90th$35$5.0$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$5.50
Median
$54.95
Typical High
$70.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$12.30
Typical High
$64.57
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$6.76
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$63.10
Typical High
$87.10
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
Medcost
Setting
Facility
Modifier
Global
Typical Low
$5.13
Median
$34.67
Typical High
$93.33
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$34.67
Typical High
$79.43