Moderate Sedation By A Second Doctor

Nationwide rates for HCPCS 99149

Moderate sedation given to an older child, teenager, or adult by a doctor other than the one performing the procedure. The medication leaves the patient drowsy and comfortable but still breathing without help and able to respond, while the sedating doctor's attention stays on monitoring. It covers the first block of sedation time; longer sedation is billed separately.

Rates data updated July 2026.

How much does Moderate Sedation By A Second Doctor cost?

$145

Typical negotiated rate. Nationwide, July 2026.

Insurers have agreed to pay about $145 for this service. The price depends on where it is billed: about $155 from a physician practice, and about $89.13 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 24 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$155	$126 to $229
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$89.13	$54.95 to $170

How much rates vary

Facilitymedian $89 · 10th to 90th $47 to $257Professionalmedian $155 · 10th to 90th $81 to $263

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
BCBS Setting Facility Modifier Global Typical Low $83.18 Median $120.23 Typical High $251.19	Facility	Global	$83.18	$120.23	$251.19
Cigna Setting Facility Modifier Global Typical Low $131.83 Median $213.80 Typical High $602.56	Facility	Global	$131.83	$213.80	$602.56
Cigna Setting Professional Modifier Global Typical Low $112.20 Median $162.18 Typical High $263.03	Professional	Global	$112.20	$162.18	$263.03

What it costs in each state

The same service costs 8.5 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.

Touch or drag across the chart to see any state's rate.

MA $316IN $37.15

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.