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Additional Time Of Moderate Sedation

Kentucky 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?

$10.72

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $10.72 for this service. The price depends on where it is billed: about $10.23 from a physician practice, and about $20.89 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$10.23$9.77 to $12.30
FacilityA hospital or hospital-owned outpatient department$20.89$13.80 to $110

How much rates vary

Facilitymedian $21 · 10th to 90th $10 to $257Professionalmedian $10 · 10th to 90th $9 to $17
$2$10$50$200$1Kfacility $21professional $10

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
$10.23
Median
$21.38
Typical High
$269.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$10.96
Typical High
$19.05
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$10.96
Typical High
$15.14
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$9.77
Typical High
$11.48
CareSource
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$12.59
Typical High
$16.22
CareSource
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$11.75
Typical High
$14.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$19.05
Typical High
$19.05
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$14.13
Typical High
$60.26
Molina
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$13.49
Typical High
$13.49
United
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$11.48
Typical High
$19.95

Where Kentucky 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.

Kentucky· 51st of 51

$10.72

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.