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Moderate Sedation For A Young Child

North Carolina 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

Facilitymedian $72 · 10th to 90th $40 to $132Professionalmedian $251 · 10th to 90th $251 to $355
$50$100$200facility $72professional $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
Medcost
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$69.18
Typical High
$120.23
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$354.81