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Additional Sedation Time by a Second Provider

Florida 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?

$61.66

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $61.66 for this service. The price depends on where it is billed: about $61.66 from a physician practice, and about $91.20 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 8 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$61.66$53.70 to $72.44
FacilityA hospital or hospital-owned outpatient department$91.20$46.77 to $170

How much rates vary

Facilitymedian $91 · 10th to 90th $32 to $282Professionalmedian $62 · 10th to 90th $47 to $155
$5$20$100$500facility $91professional $62

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
$31.62
Median
$91.20
Typical High
$281.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$60.26
Typical High
$154.88
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$97.72
Typical High
$234.42
AvMed
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$48.98
Typical High
$61.66
AvMed
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$57.54
Typical High
$67.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$74.13
Typical High
$120.23
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$43.65
Typical High
$70.79
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$67.61
United
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$70.79
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$69.18
Typical High
$123.03
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$57.54

Where Florida 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.

Florida· 46th of 51

$61.66

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.