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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.

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

$60.26

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $60.26 for this service. Most negotiated rates run $56.23 to $64.57.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $65 · 10th to 90th $65 to $65Professionalmedian $60 · 10th to 90th $55 to $83
$100$200facility $65professional $60

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

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

Where Vermont 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.

Vermont· 49th of 51

$60.26

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.