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Additional Sedation Time by a Second Provider

North Carolina 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?

$102

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $102 for this service. The price depends on where it is billed: about $102 from a physician practice, and about $58.88 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 8 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$102$79.43 to $120
FacilityA hospital or hospital-owned outpatient department$58.88$15.49 to $67.61

How much rates vary

Facilitymedian $59 · 10th to 90th $14 to $100Professionalmedian $102 · 10th to 90th $62 to $148
$20$50$100$200facility $59professional $102

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
$12.59
Median
$26.92
Typical High
$93.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$64.57
Typical High
$177.83
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$83.18
Typical High
$97.72
BCBS
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$104.71
Typical High
$138.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$85.11
Typical High
$144.54
Medcost
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$66.07
Typical High
$117.49
Medcost
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$154.88
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$70.79
Typical High
$123.03
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$467.74
Typical High
$467.74

Where North Carolina 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.

North Carolina· 5th of 51

$102

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.