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Additional Sedation Time by a Second Provider

Wisconsin 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 $93 · 10th–90th $63$2140%10%20%10th90th$93Professionalmedian $91 · 10th–90th $59$2950%10%10th90th$91$50.0$100.0$200.0$500.0

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
$66.07
Median
$204.17
Typical High
$389.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$91.20
Typical High
$309.03
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$79.43
Typical High
$194.98
CareSource
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$169.82
Typical High
$275.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$138.04
Typical High
$169.82
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$74.13
Typical High
$117.49
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$114.82
Typical High
$165.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$72.44
Typical High
$128.82
Medica
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$100.00
Typical High
$389.05
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$64.57
Network Health
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
Network Health
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$144.54
Typical High
$165.96
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$74.13
Typical High
$117.49
Quartz
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$128.82
Typical High
$177.83
Quartz
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$128.82
Typical High
$389.05
Quartz
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$223.87
Typical High
$389.05
Security Health
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Security Health
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$229.09
Typical High
$229.09
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$95.50
Typical High
$181.97