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Additional Time Of Moderate Sedation

Iowa 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?

$16.60

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $16.60 for this service. The price depends on where it is billed: about $15.85 from a physician practice, and about $126 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$15.85$13.18 to $22.91
FacilityA hospital or hospital-owned outpatient department$126$42.66 to $347

How much rates vary

Facilitymedian $126 · 10th to 90th $19 to $2,399Professionalmedian $16 · 10th to 90th $10 to $51
$10$100$1Kfacility $126professional $16

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
$63.10
Typical High
$269.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$15.85
Typical High
$52.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$25.70
Typical High
$32.36
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$18.20
Typical High
$45.71
Medica
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$19.50
Typical High
$85.11
Medica
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$19.05
Typical High
$89.13
Midlands
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$19.95
Typical High
$38.90
Midlands
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$19.05
Typical High
$28.18
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$2,398.83
Typical High
$6,456.54
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$21.38
Typical High
$28.18
United
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$16.98
Typical High
$33.88
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$19.05
Typical High
$22.39

Where Iowa 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.

Iowa· 14th of 51

$16.60

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.