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Moderate Sedation For A Young Child

Minnesota 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?

$74.13

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $74.13 for this service. The price depends on where it is billed: about $70.79 from a physician practice, and about $93.33 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$70.79$57.54 to $89.13
FacilityA hospital or hospital-owned outpatient department$93.33$74.13 to $204

How much rates vary

Facilitymedian $93 · 10th to 90th $72 to $204Professionalmedian $71 · 10th to 90th $49 to $105
$50$100$200facility $93professional $71

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
Facility
Modifier
Global
Typical Low
$66.07
Median
$93.33
Typical High
$257.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$74.13
Typical High
$112.20
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$102.33
Typical High
$204.17
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$66.07
Typical High
$104.71
Medica
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$74.13
Typical High
$89.13
Medica
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$354.81
Typical High
$354.81

Where Minnesota 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.

Minnesota· 22nd of 34

$74.13

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.