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Moderate Sedation By Treating Provider, First 15 Minutes

Massachusetts rates for HCPCS 99152

This covers moderate sedation medication given by the same doctor or other provider who is also performing a procedure, for a patient age 5 or older. A trained observer monitors the patient's breathing and vital signs while the sedation takes effect, and this covers the first 15 minutes of that sedation time.

Rates data updated July 2026.

Facilitymedian $34 · 10th–90th $13$5750%10%10th90th$34Professionalmedian $33 · 10th–90th $12$1410%10%10th90th$33$2.0$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
$19.95
Median
$107.15
Typical High
$1,288.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$30.20
Typical High
$158.49
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$29.51
Typical High
$501.19
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$50.12
Typical High
$154.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$28.84
Typical High
$39.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$31.62
Typical High
$107.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$52.48
Typical High
$120.23
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$6.17
Median
$13.18
Typical High
$27.54
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$56.23
Typical High
$102.33
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$46.77
Typical High
$123.03
Health New England
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$199.53
Typical High
$1,023.29
Health New England
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$39.81
Typical High
$87.10
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$29.51
Typical High
$501.19
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$50.12
Typical High
$154.88
United
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$72.44
United
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$51.29
Typical High
$128.82