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Additional Sedation Time by a Second Provider

South Dakota 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?

$93.33

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $93.33 for this service. The price depends on where it is billed: about $93.33 from a physician practice, and about $83.18 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$93.33$61.66 to $126
FacilityA hospital or hospital-owned outpatient department$83.18$57.54 to $115

How much rates vary

Facilitymedian $83 · 10th to 90th $58 to $145Professionalmedian $93 · 10th to 90th $54 to $141
$50$100facility $83professional $93

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$61.66
Typical High
$141.25
Avera
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$117.49
Typical High
$147.91
Medica
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$83.18
Typical High
$144.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$97.72
Typical High
$177.83
Midlands
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$125.89
Typical High
$125.89
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$97.72
Typical High
$125.89
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$97.72
Typical High
$131.83
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$102.33
Typical High
$102.33

Where South Dakota 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.

South Dakota· 10th of 51

$93.33

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.