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Additional Sedation Time by a Second Provider

Virginia 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 $78 · 10th–90th $52$2690%10%10th90th$78Professionalmedian $68 · 10th–90th $54$1050%20%10th90th$68$50.0$200.0$1.0K$5.0K

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
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$112.20
Typical High
$851.14
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$61.66
Typical High
$85.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$70.79
Typical High
$107.15
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$63.10
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$69.18
Typical High
$120.23
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$58.88
Typical High
$89.13
Medcost
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
Medcost
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$67.61
Typical High
$107.15
Sentara
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$74.13
Typical High
$177.83
Sentara
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$74.13
Typical High
$177.83
United
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
United
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$75.86
Typical High
$125.89