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Additional Sedation Time by a Second Provider

Kentucky 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?

$60.26

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $60.26 for this service. The price depends on where it is billed: about $58.88 from a physician practice, and about $63.10 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 7 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$58.88$56.23 to $66.07
FacilityA hospital or hospital-owned outpatient department$63.10$61.66 to $93.33

How much rates vary

Facilitymedian $63 · 10th to 90th $58 to $162Professionalmedian $59 · 10th to 90th $49 to $229
$50$100$200facility $63professional $59

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
$61.66
Median
$63.10
Typical High
$162.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$61.66
Typical High
$234.42
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$56.23
Typical High
$63.10
CareSource
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$66.07
Typical High
$85.11
CareSource
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$61.66
Typical High
$77.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$79.43
Typical High
$263.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$46.77
United
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
United
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$67.61
Typical High
$114.82

Where Kentucky 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.

Kentucky· 50th of 51

$60.26

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.