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Additional Sedation Time by a Second Provider

Michigan 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?

$72.44

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $72.44 for this service. The price depends on where it is billed: about $72.44 from a physician practice, and about $72.44 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$72.44$58.88 to $105
FacilityA hospital or hospital-owned outpatient department$72.44$38.90 to $91.20

How much rates vary

Facilitymedian $72 · 10th to 90th $39 to $309Professionalmedian $72 · 10th to 90th $54 to $158
$20$50$100$200facility $72professional $72

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
$38.90
Median
$75.86
Typical High
$363.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$67.61
Typical High
$158.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$45.71
Typical High
$89.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$97.72
Typical High
$104.71
CareSource
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$57.54
Typical High
$74.13
CareSource
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$63.10
Typical High
$77.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$70.79
Typical High
$177.83
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$91.20
Typical High
$165.96
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$64.57
Typical High
$97.72
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$74.13
Typical High
$234.42
United
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$102.33
Typical High
$102.33
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$69.18
Typical High
$100.00

Where Michigan 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.

Michigan· 19th of 51

$72.44

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.