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Additional Time Of Moderate Sedation

Vermont 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?

$12.30

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $12.30 for this service. Most negotiated rates run $11.75 to $16.22.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $288 · 10th to 90th $12 to $380Professionalmedian $12 · 10th to 90th $3 to $19
$5$10$20$50$100$200facility $288professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$158.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$12.30
Typical High
$19.05
BCBS
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$309.03
Typical High
$380.19
BCBS
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$15.85
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$13.18
Typical High
$23.99
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$14.45
Typical High
$15.49
United
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$15.85
Typical High
$27.54

Where Vermont 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.

Vermont· 47th of 51

$12.30

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.