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Additional Sedation Time by a Second Provider

Washington, DC 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?

$60.26

Typical physician fee. In Washington, DC, October 2026.

Insurers have agreed to pay about $60.26 for this service. Most negotiated rates run $57.54 to $75.86.

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 $58 · 10th to 90th $58 to $148Professionalmedian $60 · 10th to 90th $56 to $148
$50$100facility $58professional $60

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
$57.54
Median
$57.54
Typical High
$147.91
Aetna
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$57.54
Typical High
$138.04
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$11.22
Median
$11.48
Typical High
$11.48
CareFirst
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$63.10
Typical High
$63.10
Cigna
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$61.66
Typical High
$165.96
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$58.88
Typical High
$131.83
United
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$85.11
Typical High
$169.82

Where Washington, DC 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.

Washington, DC· 42nd of 51

$60.26

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.