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Additional Sedation Time by a Second Provider

Maine 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?

$67.61

Typical physician fee. In Maine, October 2026.

Insurers have agreed to pay about $67.61 for this service. Most negotiated rates run $63.10 to $91.20.

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.

How much rates vary

Professionalmedian $68 · 10th to 90th $55 to $112
$50$100$200professional $68

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$58.88
Median
$66.07
Typical High
$79.43
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$12.02
Median
$13.18
Typical High
$13.18
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$63.10
Typical High
$112.20
Cigna
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$74.13
Typical High
$125.89
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$81.28
Typical High
$117.49
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$58.88
Median
$66.07
Typical High
$81.28
Martin's Point
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$12.02
Median
$13.18
Typical High
$13.18
United
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$81.28
Typical High
$117.49

Where Maine 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.

Maine· 28th of 51

$67.61

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.