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Moderate Sedation for GI Endoscopy, Initial 15 Minutes

Virginia 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?

$17.59

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

Insurers have agreed to pay about $17.59 for this procedure. That total is two separate charges: $10.00 to the doctor who performs it, and $7.59 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$10.00$5.75 to $58.88
Facility feeThe hospital or surgery center$7.59$5.75 to $58.88

How much rates vary

Facilitymedian $8 · 10th to 90th $5 to $85Professionalmedian $10 · 10th to 90th $5 to $69
$10$100$1K$10Kfacility $8professional $10

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
$5.75
Median
$63.10
Typical High
$97.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$9.12
Typical High
$64.57
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$6.17
Typical High
$75.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$7.41
Typical High
$7.41
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$79.43
Typical High
$117.49
Medcost
Setting
Facility
Modifier
Global
Typical Low
$5.25
Median
$35.48
Typical High
$93.33
Medcost
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$5.13
Typical High
$91.20
Sentara
Setting
Facility
Modifier
Global
Typical Low
$3.89
Median
$6.46
Typical High
$12.02
Sentara
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$67.61
Typical High
$123.03
United
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$41.69
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$35.48
Typical High
$95.50

Where Virginia 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

Virginia· 44th of 46

$17.59

$10.00 physician + $7.59 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.