go back

Additional Sedation Time by a Second Provider

New Jersey 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 physician fee. In New Jersey, July 2026.

Insurers have agreed to pay about $66.07 for this service. Most negotiated rates run $58.88 to $74.13.

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.

How much rates vary

Facilitymedian $60 · 10th to 90th $49 to $427Professionalmedian $66 · 10th to 90th $52 to $110
$50$100$200$500$1K$2K$5Kfacility $60professional $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
$48.98
Median
$60.26
Typical High
$426.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$60.26
Typical High
$74.13
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$7,585.78
Typical High
$7,585.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$72.44
Typical High
$134.90
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$81.28
Typical High
$125.89
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$70.79
Typical High
$151.36
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$70.79
Typical High
$125.89

Where New Jersey 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.

New Jersey· 32nd 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.