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Additional Sedation Time by a Second Provider

New Mexico 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?

$72.44

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $72.44 for this service. The price depends on where it is billed: about $69.18 from a physician practice, and about $75.86 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$69.18$56.23 to $91.20
FacilityA hospital or hospital-owned outpatient department$75.86$61.66 to $102

How much rates vary

Facilitymedian $76 · 10th to 90th $55 to $126Professionalmedian $69 · 10th to 90th $52 to $240
$100.0$1.0K$10.0K$100.0Kfacility $76professional $69

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
$74.13
Median
$83.18
Typical High
$102.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$74.13
Typical High
$295.12
BCBS
Setting
Facility
Modifier
Global
Typical Low
$56,234.13
Median
$69,183.10
Typical High
$81,283.05
BCBS
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$56.23
Typical High
$79.43
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$77.62
Typical High
$109.65
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$85.11
Providence
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$67.61
Typical High
$117.49
Providence
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$83.18
Typical High
$147.91
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$89.13
Typical High
$138.04

Where New Mexico sits

The same service costs 2.5 times more in Alaska than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New Mexico $72.44 · 18th of 51
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.