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Additional Time Of Moderate Sedation

Maine 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 Maine, July 2026.

Insurers have agreed to pay about $15.85 for this service. The price depends on where it is billed: about $14.13 from a physician practice, and about $105 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$14.13$10.96 to $18.62
FacilityA hospital or hospital-owned outpatient department$105$52.48 to $174

How much rates vary

Facilitymedian $105 · 10th to 90th $45 to $331Professionalmedian $14 · 10th to 90th $10 to $26
$10$20$50$100$200$500$1Kfacility $105professional $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
$44.67
Median
$104.71
Typical High
$331.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$10.96
Typical High
$13.80
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$14.13
Typical High
$22.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$13.80
Typical High
$25.70
Community Health Options
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$588.84
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$18.20
Typical High
$36.31
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$104.71
Typical High
$316.23
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$12.30
Typical High
$26.92
United
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$18.20
Typical High
$38.02

Where Maine 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.

Maine· 19th 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.