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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 July 2026.

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

$44.57

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

Insurers have agreed to pay about $44.57 for this procedure. That total is two separate charges: $37.15 to the doctor who performs it, and $7.41 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$37.15$5.37 to $52.48
Facility feeThe hospital or surgery center$7.41$5.25 to $47.86

How much rates vary

Facilitymedian $7 · 10th to 90th $5 to $48Professionalmedian $37 · 10th to 90th $5 to $63
$5$10$20$50$100facility $7professional $37

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
$3.98
Median
$5.25
Typical High
$47.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$7.41
Typical High
$60.26
CareSource
Setting
Facility
Modifier
Global
Typical Low
$5.37
Median
$6.17
Typical High
$7.59
CareSource
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$51.29
Typical High
$72.44
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
$323.59
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$4.68
Typical High
$42.66
United
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$32.36
Typical High
$89.13

Where West 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

West Virginia· 36th of 46

$44.57

$37.15 physician + $7.41 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.