Moderate sedation for child under 5, first 15 minutes

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HB MOD SED < 5YRS 15 MIN

Payers reporting CPT 99151

Payer pricing summary

Low

Average

$268

Median

$199

High

$1.4k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +32 other terms	240	$57	$233	$383	164%	2–20	$1 – $5.0k
2	Humana fee schedule · outpatient · +26 other terms	165	$60	$312	$884	283%	1–10	$8 – $8.3k
3	Molina fee schedule · outpatient · +27 other terms	85	$56	$67	$71	106%	1–10	$12 – $541
4	Premera fee schedule · outpatient · +7 other terms	4	$151	$305	$620	204%	1–10	$78 – $2.2k
5	Blue Cross Blue Shield fee schedule · outpatient · +30 other terms	231	$85	$107	$123	115%	—	$0 – $2.9k
6	Aetna fee schedule · outpatient · +30 other terms	144	$56	$327	$869	266%	—	$14 – $8.4k
7	Anthem fee schedule · outpatient · +24 other terms	112	$68	$67	$82	123%	—	$9 – $755
8	MultiPlan fee schedule · outpatient · +19 other terms	104	$319	$544	$629	116%	—	$15 – $2.7k
9	Cigna fee schedule · outpatient · +25 other terms	99	$64	$385	$684	178%	—	$22 – $4.4k
10	Kaiser fee schedule · outpatient · +21 other terms	59	$70	$159	$171	108%	—	$22 – $816
11	Healthcare Highways percent of total billed charges · outpatientfrom % of charges · +3 other terms	46	$261	$498	$610	122%	—	$34 – $1.9k
12	WellCare fee schedule · both · +16 other terms	39	$22	$28	$13	46%	—	$14 – $63
13	Caresource fee schedule · outpatient · +14 other terms	38	$149	$233	$79	34%	—	$14 – $409
14	Medica fee schedule · outpatient · +20 other terms	37	$71	$78	$63	82%	—	$8 – $321
15	Highmark facility · fee schedule · outpatient · +12 other terms	34	$23	$24	$9	38%	—	$18 – $77
16	Medicaid facility · fee schedule · outpatient · +9 other terms	34	$52	$62	$93	149%	—	$15 – $753
17	Aetna Better Health fee schedule · outpatient · +17 other terms	32	$37	$41	$19	45%	—	$18 – $70
18	Amerihealth Caritas facility · fee schedule · outpatient · +12 other terms	32	$23	$31	$30	97%	—	$17 – $195
19	First Health fee schedule · outpatient · +18 other terms	32	$547	$622	$564	91%	—	$49 – $2.0k
20	Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges	26	$215	$175	$47	27%	—	$49 – $232
21	Optum fee schedule · outpatient · +16 other terms	26	$23	$544	$809	149%	—	$22 – $2.6k
22	Phcs fee schedule · outpatient · +12 other terms	26	$249	$567	$804	142%	—	$22 – $2.5k
23	Regence professional · fee schedule · outpatient · +13 other terms	26	$41	$69	$48	69%	—	$24 – $189
24	Wellmark fee schedule · both · +14 other terms	23	$34	$36	$9	25%	—	$22 – $82
25	Devoted fee schedule · outpatient · +12 other terms	21	$60	$38	$18	48%	—	$23 – $60

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