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Additional Sedation Time by a Second Provider

Idaho 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?

$85.11

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $85.11 for this service. The price depends on where it is billed: about $85.11 from a physician practice, and about $85.11 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$85.11$64.57 to $112
FacilityA hospital or hospital-owned outpatient department$85.11$63.10 to $102

How much rates vary

Facilitymedian $85 · 10th to 90th $52 to $126Professionalmedian $85 · 10th to 90th $58 to $240
$50$100$200facility $85professional $85

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
$102.33
Median
$102.33
Typical High
$102.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$79.43
Typical High
$275.42
BCBS
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$77.62
Typical High
$416.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$112.20
Typical High
$114.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$83.18
Typical High
$120.23
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$83.18
Typical High
$112.20
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$91.20
Typical High
$109.65
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$51.29
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$89.13
Typical High
$123.03
Select Health
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$53.70
Select Health
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$89.13
Typical High
$125.89

Where Idaho 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.

Idaho· 14th of 51

$85.11

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.