go back

Moderate Sedation For A Procedure (Young Child)

Texas 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 $71 · 10th–90th $25$3160%10%10th90th$71Professionalmedian $49 · 10th–90th $22$980%10%10th90th$49$0.2$1.0$5.0$20.0$100.0$500.0$2.0K

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
$30.90
Median
$204.17
Typical High
$588.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$56.23
Typical High
$100.00
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
BCBS
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$63.10
Typical High
$125.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$43.65
Typical High
$81.28
Baylor Scott & White
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
Christus
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$22.39
Typical High
$79.43
Cigna
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$60.26
Typical High
$114.82
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
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$57.54
Typical High
$125.89
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$56.23
Typical High
$109.65
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$50.12
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$52.48
Typical High
$125.89
Providence
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$56.23
Typical High
$109.65
Providence
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$60.26
Typical High
$117.49
United
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$89.13
Typical High
$89.13
United
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$56.23
Typical High
$112.20
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$61.66
Typical High
$61.66