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Additional Sedation Time by a Second Provider

Missouri 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?

$66.07

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $66.07 for this service. The price depends on where it is billed: about $66.07 from a physician practice, and about $77.62 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$66.07$53.70 to $112
FacilityA hospital or hospital-owned outpatient department$77.62$64.57 to $200

How much rates vary

Facilitymedian $78 · 10th to 90th $62 to $389Professionalmedian $66 · 10th to 90th $47 to $234
$20$50$100$200facility $78professional $66

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
$64.57
Median
$223.87
Typical High
$407.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$75.86
Typical High
$275.42
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$46.77
Typical High
$97.72
BCBS
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$69.18
Typical High
$102.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$70.79
Typical High
$120.23
Medica
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$75.86
Typical High
$151.36
Medica
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$79.43
Typical High
$389.05
United
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$102.33
Typical High
$102.33
United
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$70.79
Typical High
$117.49

Where Missouri 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.

Missouri· 36th of 51

$66.07

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.