go back

Additional Sedation Time by a Second Provider

Iowa 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.

Facilitymedian $85 · 10th–90th $60$1380%20%10th90th$85Professionalmedian $100 · 10th–90th $58$2630%10%20%10th90th$100$20.0$50.0$100.0$200.0

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
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$85.11
Typical High
$85.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$85.11
Typical High
$295.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$117.49
Typical High
$147.91
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$74.13
Typical High
$194.98
Medica
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$104.71
Typical High
$144.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$107.15
Typical High
$389.05
Midlands
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$120.23
Typical High
$218.78
Midlands
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$107.15
Typical High
$165.96
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$100.00
Typical High
$128.82
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$100.00
Typical High
$165.96
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$83.18
Typical High
$97.72