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Utah rates for HCPCS 99157

Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports; each additional 15 minutes intraservice time (List separately in addition to code for primary service)

Facilitymedian $72 · 10th–90th $68–$1780%20%10th90th$72Professionalmedian $95 · 10th–90th $58–$8320%10%10th90th$95$50.0$100.0$200.0$500.0$1.0K$2.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67.61 / $72.44 / $177.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $147.91 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $77.62 / $93.33
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $141.25
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $74.13 / $87.10
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $131.83 / $186.21
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $81.28 / $109.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $77.62 / $125.89