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Moderate Sedation for GI Endoscopy, Initial 15 Minutes

South Dakota 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?

$285

Typical total for the visit. In South Dakota, July 2026.

Insurers have agreed to pay about $285 for this procedure. That total is two separate charges: $56.23 to the doctor who performs it, and $229 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$56.23$9.77 to $93.33
Facility feeThe hospital or surgery center$229$148 to $347

How much rates vary

Facilitymedian $229 · 10th to 90th $12 to $407Professionalmedian $56 · 10th to 90th $5 to $132
$5$10$20$50$100$200$500facility $229professional $56

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
$147.91
Median
$229.09
Typical High
$407.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$54.95
Typical High
$151.36
Avera
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$7.94
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$64.57
Typical High
$81.28
Medica
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$43.65
Typical High
$125.89
Medica
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$91.20
Typical High
$363.08
Midlands
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$12.30
Typical High
$89.13
Midlands
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$7.24
Typical High
$74.13
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$70.79
Typical High
$109.65
United
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$52.48
Typical High
$125.89
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$10.23
Typical High
$125.89

Where South Dakota 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

South Dakota· 3rd of 46

$285

$56.23 physician + $229 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.