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Additional Time Of Moderate Sedation

Montana 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 Montana, July 2026.

Insurers have agreed to pay about $13.80 for this service. The price depends on where it is billed: about $13.49 from a physician practice, and about $21.38 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 6 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$13.49$11.22 to $17.38
FacilityA hospital or hospital-owned outpatient department$21.38$18.20 to $166

How much rates vary

Facilitymedian $21 · 10th to 90th $15 to $479Professionalmedian $13 · 10th to 90th $2 to $21
$10$100$1K$10K$100Kfacility $21professional $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
$72.44
Median
$186.21
Typical High
$489.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.19
Median
$12.30
Typical High
$19.50
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$18.20
Typical High
$18.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$18.20
Typical High
$21.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$16.60
Typical High
$35.48
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$19.95
Typical High
$21.88
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$19.95
Typical High
$21.88
Providence
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$14.45
Typical High
$22.39
Providence
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$22.39
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$13.49
Typical High
$13.49
United
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$18.20
Typical High
$30.20

Where Montana 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.

Montana· 29th 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.