go back

Moderate Sedation For A Young Child

Wisconsin 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?

$54.95

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $54.95 for this service. The price depends on where it is billed: about $53.70 from a physician practice, and about $79.43 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 6 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$53.70$47.86 to $63.10
FacilityA hospital or hospital-owned outpatient department$79.43$61.66 to $107

How much rates vary

Facilitymedian $79 · 10th to 90th $50 to $170Professionalmedian $54 · 10th to 90th $48 to $355
$50$100$200facility $79professional $54

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
Facility
Modifier
Global
Typical Low
$69.18
Median
$81.28
Typical High
$128.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$53.70
Typical High
$66.07
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$54.95
Typical High
$169.82
Medica
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$54.95
Typical High
$169.82
Medica
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
Molina
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$54.95
Typical High
$169.82
Quartz
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$213.80
Typical High
$213.80
Quartz
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$354.81
Typical High
$354.81

Where Wisconsin 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.

Wisconsin· 30th of 34

$54.95

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.