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Additional Time Of Moderate Sedation

New Jersey 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?

$12.88

Typical physician fee. In New Jersey, July 2026.

Insurers have agreed to pay about $12.88 for this service. Most negotiated rates run $11.22 to $19.50.

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.

How much rates vary

Facilitymedian $69 · 10th to 90th $15 to $513Professionalmedian $12 · 10th to 90th $10 to $21
$5$20$100$500facility $69professional $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
$15.14
Median
$69.18
Typical High
$512.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$12.02
Typical High
$16.22
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$15.49
Typical High
$17.78
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$93.33
Typical High
$6,606.93
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$31.62
Typical High
$56.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$14.45
Typical High
$26.30
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$19.50
Typical High
$28.18
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$12.88
Typical High
$31.62
United
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$14.13
Typical High
$27.54

Where New Jersey 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.

New Jersey· 43rd of 51

$12.88

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.