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Moderate Sedation For A Procedure (Young Child)

Tennessee 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.

Facilitymedian $107 · 10th–90th $26$2630%10%20%10th90th$107Professionalmedian $55 · 10th–90th $23$1170%10%10th90th$55$20.0$50.0$100.0$200.0$500.0

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
$25.70
Median
$87.10
Typical High
$263.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$54.95
Typical High
$112.20
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$54.95
Typical High
$134.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$58.88
Typical High
$120.23
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$478.63
Typical High
$478.63
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$501.19
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
United
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$60.26
Typical High
$123.03