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Additional Sedation Time by a Second Provider

Montana 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?

$79.43

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $79.43 for this service. The price depends on where it is billed: about $79.43 from a physician practice, and about $100 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 6 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$79.43$58.88 to $95.50
FacilityA hospital or hospital-owned outpatient department$100$93.33 to $110

How much rates vary

Facilitymedian $100 · 10th to 90th $65 to $204Professionalmedian $79 · 10th to 90th $52 to $115
$100$1K$10K$100Kfacility $100professional $79

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
$204.17
Median
$204.17
Typical High
$223.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$66.07
Typical High
$97.72
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$93.33
Typical High
$93.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$109.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$87.10
Typical High
$169.82
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$102.33
Typical High
$112.20
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$102.33
Typical High
$112.20
Providence
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$83.18
Typical High
$123.03
Providence
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$93.33
Typical High
$154.88
United
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$104.71
Typical High
$131.83

Where Montana 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.

Montana· 17th of 51

$79.43

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.