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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 October 2026.

How much does Additional Sedation Time by a Second Provider cost?

$110

Typical physician fee. In South Dakota, October 2026.

Insurers have agreed to pay about $110 for this service. Most negotiated rates run $83.18 to $126.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $98 · 10th to 90th $83 to $158Professionalmedian $110 · 10th to 90th $62 to $132
$50$100$200facility $98professional $110

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
Aetna
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$57.54
Typical High
$63.10
Cigna
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$125.89
Typical High
$147.91
Medica
Setting
Facility
Modifier
None
Typical Low
$83.18
Median
$97.72
Typical High
$158.49
Medica
Setting
Professional
Modifier
None
Typical Low
$61.66
Median
$112.20
Typical High
$389.05
Midlands
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$69.18
Median
$93.33
Typical High
$131.83
United
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$104.71
Typical High
$131.83
Wellmark
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$102.33
Typical High
$102.33

Where South Dakota sits

The same service costs 3.1 times more in Alaska than in New York. 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· 4th of 51

$110

AK $158NY $51.29

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.