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Additional Time Of Moderate Sedation

West 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?

$61.66

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $61.66 for this service. The price depends on where it is billed: about $12.88 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 5 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$12.88$10.72 to $22.91
FacilityA hospital or hospital-owned outpatient department$138$69.18 to $324

How much rates vary

Facilitymedian $138 · 10th to 90th $59 to $550Professionalmedian $13 · 10th to 90th $10 to $26
$10$20$50$100$200$500$1Kfacility $138professional $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
$61.66
Median
$141.25
Typical High
$549.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$14.13
Typical High
$25.70
CareSource
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$13.80
Typical High
$14.79
CareSource
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$10.96
Typical High
$12.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$19.05
Typical High
$19.05
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$14.13
Typical High
$60.26
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$112.20
Typical High
$194.98
United
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$17.38
United
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$12.30
Typical High
$20.42

Where West 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.

West Virginia· 1st of 51

$61.66

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.