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Additional Time Of Moderate Sedation

Georgia rates for HCPCS 99153

This covers extra time of moderate sedation, medicine given to keep a patient relaxed and comfortable during a procedure while still able to respond to voice or touch, beyond the initial period already covered separately. It is billed alongside a procedure performed by the same clinician giving the sedation, reflecting added monitoring time rather than a separate service.

Rates data updated July 2026.

How much does Additional Time Of Moderate Sedation cost?

$13.18

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $13.18 for this service. The price depends on where it is billed: about $11.75 from a physician practice, and about $158 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 8 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$11.75$10.23 to $16.60
FacilityA hospital or hospital-owned outpatient department$158$83.18 to $490

How much rates vary

Facilitymedian $158 · 10th to 90th $23 to $4,898Professionalmedian $12 · 10th to 90th $10 to $23
$10$100$1K$10Kfacility $158professional $12

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
$22.91
Median
$123.03
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$13.18
Typical High
$23.44
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$18.20
Typical High
$23.99
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$11.22
Typical High
$15.49
CareSource
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$13.18
Typical High
$14.79
CareSource
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$10.47
Typical High
$13.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$14.79
Typical High
$25.12
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$15.14
Typical High
$33.11
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$3,981.07
Typical High
$5,754.40
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$16.60
Typical High
$28.18
United
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$17.38
United
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$14.79
Typical High
$27.54

Where Georgia sits

The same service costs 5.8 times more in West Virginia than in Kentucky. 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.

Georgia· 40th of 51

$13.18

WV $61.66KY $10.72

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.