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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 October 2026.

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

$62.82

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

Insurers have agreed to pay about $62.82 for this procedure. That total is two separate charges: $53.70 to the doctor who performs it, and $9.12 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$53.70$6.31 to $63.10
Facility feeThe hospital or surgery center$9.12$5.75 to $64.57

How much rates vary

Facilitymedian $9 · 10th to 90th $5 to $4,571Professionalmedian $54 · 10th to 90th $5 to $76
$10$100$1K$10Kfacility $9professional $54

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$5.75
Median
$6.31
Typical High
$64.57
Aetna
Setting
Professional
Modifier
None
Typical Low
$5.75
Median
$15.14
Typical High
$64.57
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$1.15
Median
$1.78
Typical High
$12.88
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$5.01
Median
$52.48
Typical High
$79.43
Cigna
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$77.62
Typical High
$97.72
Medcost
Setting
Facility
Modifier
None
Typical Low
$6.31
Median
$10.23
Typical High
$104.71
Medcost
Setting
Professional
Modifier
None
Typical Low
$5.13
Median
$52.48
Typical High
$54.95
Sentara
Setting
Facility
Modifier
None
Typical Low
$4.57
Median
$9.12
Typical High
$10,232.93
Sentara
Setting
Professional
Modifier
None
Typical Low
$38.02
Median
$58.88
Typical High
$85.11
United
Setting
Professional
Modifier
None
Typical Low
$4.57
Median
$34.67
Typical High
$85.11

Where Virginia sits

The same service costs 22.7 times more in Georgia than in Mississippi. 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· 33rd of 46

$62.82

$53.70 physician + $9.12 facility

GA $919MS $40.49

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.