This service covers moderate sedation given to a child younger than 5 by a doctor or other qualified provider who is not the one performing the main procedure. The sedating provider monitors the child's breathing, heart rate, and level of consciousness throughout, allowing the other provider to focus on the procedure itself. It covers the first stretch of sedation time, typically the initial 15 minutes.
Rates data updated July 2026.
How much does Sedation By a Separate Provider, Young Child cost?
$115
Typical physician fee. In Rhode Island, July 2026.
Insurers have agreed to pay about $115 for this service. Most negotiated rates run $89.13 to $166.
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 4 insurance carriers under federal price transparency rules.
How much rates vary
Facilitymedian $182 · 10th to 90th $170 to $224Professionalmedian $115 · 10th to 90th $76 to $186
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
Facility/Professional
Modifier
Typical LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Aetna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$114.82
Typical High
$186.21
Professional
Global
$75.86
$114.82
$186.21
BCBS
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$181.97
Typical High
$223.87
Facility
Global
$169.82
$181.97
$223.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$104.71
Typical High
$512.86
Professional
Global
$66.07
$104.71
$512.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$104.71
Typical High
$190.55
Professional
Global
$87.10
$104.71
$190.55
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$109.65
Typical High
$165.96
Professional
Global
$79.43
$109.65
$165.96
Where Rhode Island sits
The same service costs 2.6 times more in Alaska than in Washington, DC. 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.