Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports; each additional 15 minutes intraservice time (List separately in addition to code for primary service)
Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.
Insurance Carrier
Facility/Professional
Modifier
Typical Low
Median
Typical High
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $128.82 / $870.96
Facility
$52.48
$128.82
$870.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $77.62 / $537.03
Professional
$53.70
$77.62
$537.03
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $128.82 / $316.23
Facility
$100.00
$128.82
$316.23
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $58.88 / $131.83
Professional
$45.71
$58.88
$131.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $169.82 / $426.58
Facility
$72.44
$169.82
$426.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $77.62 / $151.36
Professional
$56.23
$77.62
$151.36
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $81.28 / $93.33
Facility
$54.95
$81.28
$93.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $79.43 / $134.90
Professional
$53.70
$79.43
$134.90
See more rates by state
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