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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 July 2026.

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

$69.18

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $69.18 for this service. The price depends on where it is billed: about $69.18 from a physician practice, and about $120 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$60.26 to $102
FacilityA hospital or hospital-owned outpatient department$120$81.28 to $240

How much rates vary

Facilitymedian $120 · 10th to 90th $71 to $389Professionalmedian $69 · 10th to 90th $58 to $234
$100$200$500facility $120professional $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
$70.79
Median
$81.28
Typical High
$239.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$67.61
Typical High
$234.42
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
BCBS
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$77.62
Typical High
$128.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$77.62
Typical High
$117.49
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$467.74
Typical High
$467.74
United
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
United
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$70.79
Typical High
$123.03

Where Tennessee 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.

Tennessee· 26th of 51

$69.18

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.