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Moderate Sedation for GI Endoscopy, Initial 15 Minutes

Utah 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?

$7.94

Typical physician fee. In Utah, July 2026.

Insurers have agreed to pay about $7.94 for this service. Most negotiated rates run $5.37 to $67.61.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $69 · 10th to 90th $7 to $209Professionalmedian $8 · 10th to 90th $5 to $100
$1$5$20$100facility $69professional $8

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
$7.24
Median
$69.18
Typical High
$208.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$7.08
Typical High
$109.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$13.18
Typical High
$85.11
Select Health
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Select Health
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$12.59
Typical High
$144.54
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$70.79
Typical High
$114.82
United
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$45.71
Typical High
$83.18

Where Utah sits

The same service costs 8.1 times more in North Dakota 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.

Utah· 48th of 51

$7.94

ND $57.54LA $7.08

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.