go back

Additional Sedation Time by a Second Provider

Vermont 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 $65 · 10th–90th $65$650%50%100%$65Professionalmedian $60 · 10th–90th $55$830%20%10th90th$60$50.0$100.0$200.0

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

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$58.88
Typical High
$64.57
BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$83.18
Typical High
$218.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$69.18
Typical High
$141.25
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$79.43
Typical High
$89.13
United
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$87.10
Typical High
$147.91