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Additional Sedation Time by a Second Provider

Illinois 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?

$67.61

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $67.61 for this service. The price depends on where it is billed: about $66.07 from a physician practice, and about $97.72 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 6 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$66.07$61.66 to $107
FacilityA hospital or hospital-owned outpatient department$97.72$66.07 to $224

How much rates vary

Facilitymedian $98 · 10th to 90th $63 to $457Professionalmedian $66 · 10th to 90th $54 to $229
$50$100$200$500$1Kfacility $98professional $66

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
$64.57
Median
$97.72
Typical High
$398.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$75.86
Typical High
$234.42
BCBS
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$117.49
Typical High
$812.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$63.10
Typical High
$81.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$77.62
Typical High
$123.03
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$83.18
Typical High
$245.47
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$72.44
Typical High
$77.62
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$81.28
Typical High
$181.97
United
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$79.43
Typical High
$128.82

Where Illinois 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.

Illinois· 27th of 51

$67.61

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.