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Moderate Sedation By Treating Provider, First 15 Minutes

Tennessee 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 October 2026.

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

$43.65

Typical physician fee. In Tennessee, October 2026.

Insurers have agreed to pay about $43.65 for this service. Most negotiated rates run $12.88 to $61.66.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $35 · 10th to 90th $12 to $65Professionalmedian $44 · 10th to 90th $11 to $324
$10$20$50$100$200$500facility $35professional $44

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$11.75
Median
$35.48
Typical High
$64.57
Aetna
Setting
Professional
Modifier
None
Typical Low
$11.75
Median
$38.90
Typical High
$64.57
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$2.34
Median
$8.13
Typical High
$10.96
Ambetter
Setting
Professional
Modifier
None
Typical Low
$9.77
Median
$15.49
Typical High
$58.88
BCBS Tennessee
Setting
Professional
Modifier
None
Typical Low
$10.96
Median
$28.84
Typical High
$70.79
Cigna
Setting
Professional
Modifier
None
Typical Low
$11.22
Median
$36.31
Typical High
$72.44
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$446.68
Typical High
$446.68
United
Setting
Professional
Modifier
None
Typical Low
$11.75
Median
$39.81
Typical High
$81.28

Where Tennessee sits

The same service costs 6.8 times more in Minnesota than in Georgia. 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.

Tennessee· 25th of 51

$43.65

MN $91.20GA $13.49

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.