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Additional Time Of Moderate Sedation

North Carolina 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?

$19.05

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $19.05 for this service. The price depends on where it is billed: about $18.62 from a physician practice, and about $138 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$18.62$14.45 to $25.12
FacilityA hospital or hospital-owned outpatient department$138$33.88 to $234

How much rates vary

Facilitymedian $138 · 10th to 90th $12 to $355Professionalmedian $19 · 10th to 90th $11 to $28
$5$20$100$500$2Kfacility $138professional $19

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
$15.14
Median
$147.91
Typical High
$562.34
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$11.75
Typical High
$24.55
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$12.59
Typical High
$20.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$19.05
Typical High
$30.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$19.05
Typical High
$19.05
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$14.79
Typical High
$26.30
Medcost
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$11.75
Typical High
$20.89
Medcost
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$10.00
Typical High
$27.54
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$2,691.53
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$16.60
United
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$12.30
Typical High
$24.55
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$104.71
Typical High
$104.71

Where North Carolina 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.

North Carolina· 10th of 51

$19.05

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.