go back

Moderate Sedation For A Procedure (Young Child)

Massachusetts rates for HCPCS 99151

The administration and monitoring of moderate sedation, medication that makes a patient drowsy and comfortable but not fully unconscious, given by the same doctor performing another procedure on a child younger than five. It covers the initial period of sedation, with the doctor overseeing both the sedation and the separate procedure at the same time.

Rates data updated July 2026.

Facilitymedian $41 · 10th–90th $22$810%10%20%10th90th$41Professionalmedian $65 · 10th–90th $23$1550%10%20%10th90th$65$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$30.90
Typical High
$79.43
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$64.57
Typical High
$123.03
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$58.88
Typical High
$478.63
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$70.79
Typical High
$186.21
BCBS
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$58.88
Typical High
$81.28
BCBS
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$117.49
Typical High
$169.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$72.44
Typical High
$162.18
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$24.55
Typical High
$52.48
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$69.18
Typical High
$123.03
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$63.10
Typical High
$151.36
Health New England
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$58.88
Typical High
$478.63
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$70.79
Typical High
$186.21
United
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$89.13
United
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$72.44
Typical High
$158.49