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Additional Sedation Time by a Second Provider

Colorado rates for HCPCS 99157

This covers each additional block of time that a separate qualified provider spends administering sedation medication and monitoring a patient during a procedure performed by a different physician. It is used when a procedure runs longer than the initial sedation period already accounted for.

Rates data updated October 2026.

How much does Additional Sedation Time by a Second Provider cost?

$81.28

Typical negotiated rate. In Colorado, October 2026.

Insurers have agreed to pay about $81.28 for this service. The price depends on where it is billed: about $81.28 from a physician practice, and about $69.18 from a hospital or other facility.

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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$81.28$69.18 to $107
FacilityA hospital or hospital-owned outpatient department$69.18$61.66 to $87.10

How much rates vary

Facilitymedian $69 · 10th to 90th $62 to $100Professionalmedian $81 · 10th to 90th $62 to $138
$50$100$200facility $69professional $81

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$61.66
Median
$61.66
Typical High
$95.50
Aetna
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$61.66
Typical High
$74.13
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$69.18
Median
$85.11
Typical High
$147.91
Cigna
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$75.86
Typical High
$120.23
Denver HMP
Setting
Facility
Modifier
None
Typical Low
$61.66
Median
$69.18
Typical High
$87.10
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$72.44
Typical High
$109.65
Select Health
Setting
Facility
Modifier
None
Typical Low
$53.70
Median
$100.00
Typical High
$114.82
Select Health
Setting
Professional
Modifier
None
Typical Low
$38.02
Median
$54.95
Typical High
$123.03
United
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$93.33
Typical High
$154.88
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$12.02
Median
$12.30
Typical High
$13.49

Where Colorado sits

The same service costs 3.1 times more in Alaska than in New York. 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.

Colorado· 17th of 51

$81.28

AK $158NY $51.29

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.