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Moderate Sedation For A Procedure (Young Child)

South Carolina 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.

How much does Moderate Sedation For A Procedure (Young Child) cost?

$60.26

Typical physician fee. In South Carolina, July 2026.

Insurers have agreed to pay about $60.26 for this service. Most negotiated rates run $25.12 to $85.11.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $71 · 10th to 90th $25 to $407Professionalmedian $60 · 10th to 90th $25 to $141
$20$50$100$200facility $71professional $60

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
Aetna
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$338.84
Typical High
$426.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$60.26
Typical High
$213.80
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$22.91
Typical High
$22.91
BCBS
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$60.26
Typical High
$91.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$60.26
Typical High
$117.49
Medcost
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$57.54
Typical High
$112.20
Medcost
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$58.88
Typical High
$107.15

Where South Carolina sits

The same service costs 3.5 times more in Alaska than in Kentucky. 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.

South Carolina· 18th of 51

$60.26

AK $95.50KY $26.92

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.