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Moderate Sedation for GI Endoscopy, Initial 15 Minutes

West 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?

$46.77

Typical physician fee. In West Virginia, October 2026.

Insurers have agreed to pay about $46.77 for this service. Most negotiated rates run $5.62 to $53.70.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $7 · 10th to 90th $7 to $7Professionalmedian $47 · 10th to 90th $5 to $78
$5$10$20$50$100$200facility $7professional $47

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$5.25
Median
$15.14
Typical High
$52.48
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$1.05
Median
$1.38
Typical High
$9.55
CareSource
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$53.70
Typical High
$79.43
Cigna
Setting
Facility
Modifier
None
Typical Low
$7.41
Median
$7.41
Typical High
$7.41
Cigna
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
Highmark BCBS
Setting
Professional
Modifier
None
Typical Low
$4.68
Median
$4.68
Typical High
$42.66
United
Setting
Professional
Modifier
None
Typical Low
$4.37
Median
$32.36
Typical High
$85.11

Where West Virginia sits

The same service costs 7.6 times more in Washington than in Michigan. 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.

West Virginia· 43rd of 51

$46.77

WA $79.43MI $10.47

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.