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Additional Sedation Time by a Second Provider

Texas 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.

Facilitymedian $107 · 10th–90th $58$2630%10%10th90th$107Professionalmedian $60 · 10th–90th $47$950%20%40%10th90th$60$1.0$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$102.33
Typical High
$263.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$60.26
Typical High
$85.11
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
BCBS
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$177.83
Typical High
$316.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$54.95
Typical High
$91.20
Baylor Scott & White
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$169.82
Christus
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$114.82
Typical High
$114.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$69.18
Typical High
$114.82
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
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$66.07
Typical High
$120.23
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$87.10
Typical High
$97.72
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$47.86
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$100.00
Typical High
$128.82
Providence
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$66.07
Typical High
$120.23
Providence
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$70.79
Typical High
$120.23
United
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$81.28
Typical High
$1,258.93
United
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$69.18
Typical High
$107.15
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$74.13