Moderate Sedation For A Young Child

New Jersey 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 $56 · 10th to 90th $45 to $120

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Horizon BCBS Setting Professional Modifier Global Typical Low $44.67 Median $56.23 Typical High $120.23	Professional	Global	$44.67	$56.23	$120.23