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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.

Facilitymedian $69 · 10th–90th $7$2090%20%40%10th90th$69Professionalmedian $8 · 10th–90th $5$1000%10%20%10th90th$8$1.0$5.0$20.0$100.0

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
$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