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Delaware rates for HCPCS 99157

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)

Facilitymedian $501 · 10th–90th $166–$8320%10%20%10th90th$501Professionalmedian $66 · 10th–90th $58–$2570%20%10th90th$66$50.0$100.0$200.0$500.0

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
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $501.19 / $831.76
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $66.07 / $257.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $64.57 / $109.65
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $169.82 / $169.82
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $616.60 / $630.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $70.79 / $123.03