go back

Moderate Sedation For A Procedure (Young Child)

Washington 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 $110 · 10th–90th $32$3390%5%10%10th90th$110Professionalmedian $62 · 10th–90th $23$1410%5%10th90th$62$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
$33.11
Median
$125.89
Typical High
$457.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$57.54
Typical High
$123.03
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$70.79
Typical High
$147.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$72.44
Typical High
$165.96
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$69.18
Typical High
$154.88
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$67.61
Typical High
$147.91
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$38.90
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$117.49
Typical High
$141.25
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$93.33
Typical High
$93.33
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$83.18
Typical High
$147.91
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$70.79
Typical High
$147.91
United
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$52.48
Typical High
$57.54
United
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$69.18
Typical High
$151.36
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$63.10
Typical High
$91.20