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Moderate Sedation For A Young Child

Michigan 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 rates vary

Professionalmedian $105 · 10th to 90th $48 to $132
$50$100professional $105

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
Cigna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$104.71
Typical High
$131.83
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$104.71
Typical High
$109.65