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Additional Time Of Moderate Sedation

Michigan 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?

$16.22

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $16.22 for this service. The price depends on where it is billed: about $12.30 from a physician practice, and about $93.33 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$12.30$11.22 to $15.14
FacilityA hospital or hospital-owned outpatient department$93.33$48.98 to $182

How much rates vary

Facilitymedian $93 · 10th to 90th $28 to $398Professionalmedian $12 · 10th to 90th $10 to $22
$2$10$50$200facility $93professional $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
$28.18
Median
$97.72
Typical High
$398.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$12.30
Typical High
$20.89
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$13.18
Typical High
$23.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$67.61
Typical High
$123.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$22.39
Typical High
$23.99
CareSource
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$11.48
Typical High
$14.45
CareSource
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$12.30
Typical High
$14.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$12.88
Typical High
$36.31
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.88
Typical High
$30.90
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$12.30
Typical High
$19.05
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$12.02
Typical High
$51.29
United
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$13.49
United
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$12.30
Typical High
$22.91

Where Michigan 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.

Michigan· 16th of 51

$16.22

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.