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Additional Sedation Time by a Second Provider

Massachusetts 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 $151 · 10th–90th $45$2570%20%10th90th$151Professionalmedian $76 · 10th–90th $55$2290%20%10th90th$76$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$54.95
Median
$54.95
Typical High
$851.14
Aetna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$66.07
Typical High
$275.42
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$147.91
Typical High
$389.05
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$89.13
Typical High
$389.05
BCBS
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$169.82
Typical High
$218.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$109.65
Typical High
$147.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$77.62
Typical High
$165.96
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$60.26
Typical High
$120.23
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$54.95
Typical High
$102.33
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$83.18
Typical High
$141.25
Health New England
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$331.13
Typical High
$1,202.26
Health New England
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$446.68
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$147.91
Typical High
$389.05
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$89.13
Typical High
$389.05
United
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$83.18
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$97.72
Typical High
$162.18