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Michigan rates for HCPCS 99157

Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports; each additional 15 minutes intraservice time (List separately in addition to code for primary service)

Facilitymedian $78 · 10th–90th $69–$1,2020%20%10th90th$78Professionalmedian $78 · 10th–90th $56–$3800%10%20%10th90th$78$20.0$50.0$100.0$200.0$500.0$1.0K$2.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $91.20 / $1,445.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $77.62 / $436.52
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $60.26 / $102.33
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $93.33 / $104.71
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $74.13 / $100.00
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $63.10 / $131.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $70.79 / $177.83
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $147.91 / $1,445.44
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $72.44 / $194.98
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $66.07 / $97.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $63.10 / $63.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $69.18 / $100.00