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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.

Facilitymedian $58 · 10th–90th $5$1740%20%10th90th$58Professionalmedian $32 · 10th–90th $5$660%10%10th90th$32$5.0$10.0$20.0$50.0$100.0$200.0$500.0

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
$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