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Additional Sedation Time by a Second Provider

Delaware 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 July 2026.

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

$63.10

Typical negotiated rate. In Delaware, July 2026.

Insurers have agreed to pay about $63.10 for this service. The price depends on where it is billed: about $63.10 from a physician practice, and about $166 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 4 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$63.10$57.54 to $67.61
FacilityA hospital or hospital-owned outpatient department$166$166 to $174

How much rates vary

Facilitymedian $166 · 10th to 90th $166 to $174Professionalmedian $63 · 10th to 90th $56 to $115
$100facility $166professional $63

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
$165.96
Median
$165.96
Typical High
$173.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$61.66
Typical High
$67.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$64.57
Typical High
$109.65
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$616.60
Typical High
$630.96
United
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
United
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$70.79
Typical High
$134.90

Where Delaware sits

The same service costs 2.5 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.

Delaware· 43rd of 51

$63.10

AK $145DC $57.54

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.