go back

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.

Facilitymedian $98 · 10th–90th $63$4570%10%20%10th90th$98Professionalmedian $66 · 10th–90th $54$2290%20%10th90th$66$50.0$100.0$200.0$500.0$1.0K

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
$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