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Moderate Sedation By Treating Provider, First 15 Minutes

Maine 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.

How much does Moderate Sedation By Treating Provider, First 15 Minutes cost?

$51.29

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $51.29 for this service. The price depends on where it is billed: about $34.67 from a physician practice, and about $135 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$34.67$13.18 to $60.26
FacilityA hospital or hospital-owned outpatient department$135$100 to $229

How much rates vary

Facilitymedian $135 · 10th to 90th $78 to $427Professionalmedian $35 · 10th to 90th $12 to $83
$1$10$100$1Kfacility $135professional $35

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
$77.62
Median
$134.90
Typical High
$426.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$38.90
Typical High
$57.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$14.45
Typical High
$30.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$52.48
Typical High
$97.72
Community Health Options
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$616.60
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$47.86
Typical High
$102.33
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$194.98
Typical High
$426.58
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$38.90
Typical High
$91.20
United
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$44.67
Typical High
$102.33

Where Maine sits

The same service costs 3.4 times more in Maine than in Washington, DC. 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.

Maine· 1st of 51

$51.29

ME $51.29DC $15.14

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.