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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.

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

$67.61

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $67.61 for this service. The price depends on where it is billed: about $67.61 from a physician practice, and about $77.62 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 8 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$67.61$57.54 to $79.43
FacilityA hospital or hospital-owned outpatient department$77.62$63.10 to $115

How much rates vary

Facilitymedian $78 · 10th to 90th $52 to $269Professionalmedian $68 · 10th to 90th $54 to $105
$50$200$1K$5Kfacility $78professional $68

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
$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

Where Virginia 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.

Virginia· 28th of 51

$67.61

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.