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Additional Sedation Time by a Second Provider

Georgia 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 Georgia, 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 $115 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 7 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 $79.43
FacilityA hospital or hospital-owned outpatient department$115$74.13 to $977

How much rates vary

Facilitymedian $115 · 10th to 90th $58 to $977Professionalmedian $63 · 10th to 90th $50 to $148
$50$100$200$500$1Kfacility $115professional $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
$57.54
Median
$245.47
Typical High
$977.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$64.57
Typical High
$234.42
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$58.88
Typical High
$85.11
CareSource
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$67.61
Typical High
$77.62
CareSource
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$53.70
Typical High
$69.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$81.28
Typical High
$138.04
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$72.44
Typical High
$263.03
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$79.43
Typical High
$128.82
United
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$81.28
United
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$81.28
Typical High
$131.83

Where Georgia 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.

Georgia· 45th 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.