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Additional Time Of Moderate Sedation

Virginia 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 Virginia, July 2026.

Insurers have agreed to pay about $13.80 for this service. The price depends on where it is billed: about $12.59 from a physician practice, and about $70.79 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$12.59$11.22 to $15.49
FacilityA hospital or hospital-owned outpatient department$70.79$15.49 to $214

How much rates vary

Facilitymedian $71 · 10th to 90th $11 to $646Professionalmedian $13 · 10th to 90th $10 to $19
$10$100$1K$10Kfacility $71professional $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
$16.98
Median
$95.50
Typical High
$645.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$11.48
Typical High
$19.05
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$14.13
Typical High
$20.89
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$14.45
Typical High
$19.05
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$13.49
Typical High
$22.39
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$14.79
Typical High
$18.62
Medcost
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
Medcost
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$12.02
Typical High
$19.95
Sentara
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$14.13
Typical High
$37.15
Sentara
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$14.13
Typical High
$37.15
United
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$13.49
Typical High
$13.49
United
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$14.45
Typical High
$23.99

Where Virginia 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.

Virginia· 31st 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.