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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 October 2026.

How much does Additional Sedation Time by a Second Provider cost?

$75.86

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $75.86 for this service. The price depends on where it is billed: about $75.86 from a physician practice, and about $54.95 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$75.86$66.07 to $97.72
FacilityA hospital or hospital-owned outpatient department$54.95$34.67 to $83.18

How much rates vary

Facilitymedian $55 · 10th to 90th $24 to $155Professionalmedian $76 · 10th to 90th $59 to $105
$20$50$100$200facility $55professional $76

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
Facility
Modifier
None
Typical Low
$64.57
Median
$67.61
Typical High
$83.18
Aetna
Setting
Professional
Modifier
None
Typical Low
$58.88
Median
$66.07
Typical High
$69.18
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$12.30
Median
$13.18
Typical High
$13.49
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$19.05
Median
$44.67
Typical High
$85.11
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$97.72
Typical High
$104.71
CareSource
Setting
Professional
Modifier
None
Typical Low
$46.77
Median
$63.10
Typical High
$77.62
Cigna
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$67.61
Typical High
$117.49
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$38.90
Median
$154.88
Typical High
$363.08
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$72.44
Typical High
$87.10
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$14.45
Median
$14.45
Typical High
$14.45
Priority Health
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$66.07
Typical High
$117.49
United
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$67.61
Typical High
$83.18

Where Michigan 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.

Michigan· 18th of 51

$75.86

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.