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Moderate Sedation for GI Endoscopy, Initial 15 Minutes

Tennessee 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?

$53.70

Typical physician fee. In Tennessee, October 2026.

Insurers have agreed to pay about $53.70 for this service. Most negotiated rates run $5.75 to $66.07.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $5 · 10th to 90th $5 to $54Professionalmedian $54 · 10th to 90th $5 to $363
$5$10$20$50$100$200$500facility $5professional $54

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$5.13
Median
$5.13
Typical High
$53.70
Aetna
Setting
Professional
Modifier
None
Typical Low
$4.79
Median
$32.36
Typical High
$58.88
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.95
Median
$7.24
Typical High
$11.48
Ambetter
Setting
Professional
Modifier
None
Typical Low
$5.01
Median
$6.17
Typical High
$7.24
BCBS Tennessee
Setting
Professional
Modifier
None
Typical Low
$4.68
Median
$19.05
Typical High
$77.62
Cigna
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$363.08
Median
$575.44
Typical High
$575.44
United
Setting
Professional
Modifier
None
Typical Low
$5.25
Median
$43.65
Typical High
$79.43

Where Tennessee sits

The same service costs 7.6 times more in Washington than in Michigan. 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.

Tennessee· 13th of 51

$53.70

WA $79.43MI $10.47

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.