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Additional Time Of Moderate Sedation

Illinois 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?

$15.85

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $15.85 for this service. The price depends on where it is billed: about $13.80 from a physician practice, and about $170 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$13.80$12.02 to $17.38
FacilityA hospital or hospital-owned outpatient department$170$85.11 to $251

How much rates vary

Facilitymedian $170 · 10th to 90th $28 to $457Professionalmedian $14 · 10th to 90th $10 to $25
$10$100$1Kfacility $170professional $14

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
$28.18
Median
$173.78
Typical High
$457.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$13.80
Typical High
$23.44
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$12.59
Typical High
$15.85
BCBS
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$66.07
Typical High
$151.36
BCBS
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$13.80
Typical High
$16.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$15.49
Typical High
$22.91
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$16.98
Typical High
$120.23
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$14.13
Typical High
$16.22
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$21.88
United
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$15.85
Typical High
$79.43

Where Illinois 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.

Illinois· 21st of 51

$15.85

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.