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Moderate Sedation for GI Endoscopy, Initial 15 Minutes

Wisconsin 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 $51 · 10th–90th $5$2450%10%10th90th$51Professionalmedian $32 · 10th–90th $5$1550%10%10th90th$32$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

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
$4.68
Median
$245.47
Typical High
$851.14
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$15.85
Typical High
$138.04
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$56.23
Typical High
$162.18
CareSource
Setting
Facility
Modifier
Global
Typical Low
$5.25
Median
$6.92
Typical High
$10.00
CareSource
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$50.12
Typical High
$74.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$181.97
Typical High
$288.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$53.70
Typical High
$107.15
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$4.68
Median
$37.15
Typical High
$70.79
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$18.20
Typical High
$141.25
Medica
Setting
Facility
Modifier
Global
Typical Low
$4.79
Median
$51.29
Typical High
$186.21
Medica
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$109.65
Typical High
$363.08
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$64.57
Network Health
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$70.79
Typical High
$144.54
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$4.68
Median
$37.15
Typical High
$70.79
Quartz
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$39.81
Typical High
$199.53
Quartz
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$128.82
Typical High
$173.78
Quartz
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$138.04
Typical High
$363.08
Security Health
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$87.10
Security Health
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$87.10
Typical High
$223.87
United
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
United
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$20.42
Typical High
$147.91