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Additional Sedation Time by a Second Provider

Indiana 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 October 2026.

How much does Additional Sedation Time by a Second Provider cost?

$57.54

Typical negotiated rate. In Indiana, October 2026.

Insurers have agreed to pay about $57.54 for this service. The price depends on where it is billed: about $57.54 from a physician practice, and about $70.79 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$57.54$56.23 to $67.61
FacilityA hospital or hospital-owned outpatient department$70.79$56.23 to $155

How much rates vary

Facilitymedian $71 · 10th to 90th $55 to $955Professionalmedian $58 · 10th to 90th $48 to $89
$50$100$200$500$1K$2Kfacility $71professional $58

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$54.95
Median
$57.54
Typical High
$70.79
Aetna
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$57.54
Typical High
$64.57
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$11.22
Median
$11.48
Typical High
$12.88
Ambetter
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$56.23
Median
$56.23
Typical High
$107.15
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$56.23
Typical High
$74.13
CareSource
Setting
Facility
Modifier
None
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
CareSource
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$53.70
Typical High
$72.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$66.07
Typical High
$97.72
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$154.88
Median
$912.01
Typical High
$2,187.76
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
None
Typical Low
$52.48
Median
$66.07
Typical High
$100.00
United
Setting
Professional
Modifier
None
Typical Low
$52.48
Median
$64.57
Typical High
$107.15

Where Indiana sits

The same service costs 3.1 times more in Alaska than in New York. 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.

Indiana· 48th of 51

$57.54

AK $158NY $51.29

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.