go back

Additional Time Of Moderate Sedation

Missouri 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?

$13.80

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $13.80 for this service. The price depends on where it is billed: about $13.18 from a physician practice, and about $91.20 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$13.18$10.72 to $16.60
FacilityA hospital or hospital-owned outpatient department$91.20$13.80 to $166

How much rates vary

Facilitymedian $91 · 10th to 90th $11 to $490Professionalmedian $13 · 10th to 90th $10 to $28
$10$20$50$100$200$500$1Kfacility $91professional $13

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
$10.72
Median
$120.23
Typical High
$602.56
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$13.80
Typical High
$30.20
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$13.80
Typical High
$18.62
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$10.72
Typical High
$16.60
BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$13.80
Typical High
$22.39
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$12.88
Typical High
$21.38
Medica
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$13.49
Typical High
$30.20
Medica
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$13.49
Typical High
$89.13
Qualchoice
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$16.60
Typical High
$19.50
United
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$17.38
United
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$12.59
Typical High
$22.39

Where Missouri 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.

Missouri· 36th of 51

$13.80

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.