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Moderate Sedation For A Young Child

Illinois 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?

$174

Typical facility fee. In Illinois, July 2026.

Insurers have agreed to pay about $174 for this service. Most negotiated rates run $126 to $224.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $174 · 10th to 90th $112 to $355Professionalmedian $200 · 10th to 90th $105 to $347
$100$200$500facility $174professional $200

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
BCBS
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$173.78
Typical High
$354.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$109.65
Typical High
$131.83
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$199.53
Typical High
$346.74
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00

Where Illinois 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.

Illinois· 6th of 34

$174

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.