go back

Additional Sedation Time by a Second Provider

Tennessee 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?

$69.18

Typical physician fee. In Tennessee, October 2026.

Insurers have agreed to pay about $69.18 for this service. Most negotiated rates run $57.54 to $155.

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 $59 · 10th to 90th $59 to $81Professionalmedian $69 · 10th to 90th $54 to $457
$50$100$200$500facility $59professional $69

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
$58.88
Median
$58.88
Typical High
$81.28
Aetna
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$60.26
Typical High
$81.28
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$11.48
Median
$12.02
Typical High
$16.22
Ambetter
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
BCBS Tennessee
Setting
Professional
Modifier
None
Typical Low
$51.29
Median
$58.88
Typical High
$104.71
Cigna
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$63.10
Typical High
$107.15
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$389.05
Median
$457.09
Typical High
$457.09
United
Setting
Professional
Modifier
None
Typical Low
$52.48
Median
$63.10
Typical High
$123.03

Where Tennessee 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.

Tennessee· 24th of 51

$69.18

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.