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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 July 2026.

How much does Moderate Sedation for GI Endoscopy, Initial 15 Minutes cost?

$89.90

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

Insurers have agreed to pay about $89.90 for this procedure. That total is two separate charges: $32.36 to the doctor who performs it, and $57.54 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$32.36$5.50 to $54.95
Facility feeThe hospital or surgery center$57.54$9.12 to $174

How much rates vary

Facilitymedian $58 · 10th to 90th $5 to $174Professionalmedian $32 · 10th to 90th $5 to $66
$5$10$20$50$100$200facility $58professional $32

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
$5.50
Median
$9.12
Typical High
$93.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$7.76
Typical High
$64.57
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$5.37
Typical High
$7.24
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$40.74
Typical High
$107.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$478.63
Typical High
$478.63
United
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$5.01
Typical High
$51.29
United
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$42.66
Typical High
$87.10

Where Tennessee 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

Tennessee· 12th of 46

$89.90

$32.36 physician + $57.54 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.