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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 October 2026.

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

$66.07

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $66.07 for this service. Most negotiated rates run $63.10 to $87.10.

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 $257 · 10th to 90th $257 to $275Professionalmedian $66 · 10th to 90th $59 to $107
$50$100$200facility $257professional $66

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$64.57
Typical High
$64.57
BCBS Vermont
Setting
Facility
Modifier
None
Typical Low
$257.04
Median
$257.04
Typical High
$275.42
BCBS Vermont
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$74.13
Typical High
$83.18
Cigna
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$63.10
Typical High
$95.50
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$79.43
Typical High
$89.13
United
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$89.13
Typical High
$131.83

Where Vermont sits

The same service costs 3.1 times more in Alaska than in New York. 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· 32nd of 51

$66.07

AK $158NY $51.29

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.