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Moderate Sedation for GI Endoscopy, Initial 15 Minutes

Washington 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 $59 · 10th–90th $6$1700%5%10th90th$59Professionalmedian $14 · 10th–90th $5$1120%5%10%10th90th$14$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
$4.27
Median
$51.29
Typical High
$302.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$6.92
Typical High
$79.43
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$6.76
Typical High
$9.77
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$56.23
Typical High
$125.89
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
Facility
Modifier
Global
Typical Low
$6.76
Median
$19.95
Typical High
$141.25
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$19.95
Typical High
$134.90
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$34.67
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$112.20
Typical High
$114.82
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$79.43
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$79.43
Typical High
$141.25
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$21.38
Typical High
$120.23
United
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$39.81
Typical High
$66.07
United
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$48.98
Typical High
$114.82
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$81.28
Typical High
$151.36