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Moderate Sedation For A Young Child

California rates for HCPCS 99143

Sedation given to a young child by the same doctor who is performing the procedure, using medication that leaves the child drowsy and comfortable but still able to respond and breathe on their own. A trained staff member watches breathing, heart rate, and oxygen level the whole time. It covers the first block of sedation time; longer sedation is billed separately.

Rates data updated July 2026.

How much does Moderate Sedation For A Young Child cost?

$214

Typical physician fee. In California, July 2026.

Insurers have agreed to pay about $214 for this service. Most negotiated rates run $83.18 to $251.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $89 · 10th to 90th $58 to $214Professionalmedian $251 · 10th to 90th $251 to $355
$50$100$200$500$1Kfacility $89professional $251

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
Cigna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$54.95
Typical High
$131.83
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$281.84
Typical High
$1,698.24
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$354.81
Providence
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$81.28
Typical High
$125.89

Where California sits

The same service costs 7.1 times more in Massachusetts than in Indiana. 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.

California· 5th of 34

$214

MA $355IN $50.12

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.