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Additional Sedation Time by a Second Provider

Ohio 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?

$63.10

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $63.10 for this service. The price depends on where it is billed: about $61.66 from a physician practice, and about $97.72 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$61.66$57.54 to $81.28
FacilityA hospital or hospital-owned outpatient department$97.72$67.61 to $191

How much rates vary

Facilitymedian $98 · 10th to 90th $58 to $234Professionalmedian $62 · 10th to 90th $52 to $138
$50$100$200facility $98professional $62

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
$57.54
Median
$114.82
Typical High
$234.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$61.66
Typical High
$239.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$60.26
Typical High
$109.65
CareSource
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$58.88
Typical High
$75.86
CareSource
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$54.95
Typical High
$75.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$102.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$74.13
Typical High
$117.49
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$194.98
Typical High
$398.11
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$74.13
Typical High
$123.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$41.69
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$66.07
Typical High
$123.03
United
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$102.33
Typical High
$102.33
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$67.61
Typical High
$123.03

Where Ohio 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.

Ohio· 41st of 51

$63.10

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.