Additional 15 minutes of moderate sedation by the same physician

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

Mod Sed Same Phys/Qhp Each Addl 15 Mins

Payers reporting CPT 99153

Payer pricing summary

Low

Average

$270

Median

$152

High

$2.7k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +33 other terms	272	$18	$177	$442	250%	163–190	$1 – $10.9k
2	Cigna fee schedule · outpatient · +27 other terms	131	$42	$303	$1.1k	357%	136–163	$10 – $11.0k
3	Kaiser fee schedule · outpatient · +25 other terms	62	$14	$128	$261	203%	85	$10 – $3.1k
4	Humana fee schedule · outpatient · +28 other terms	169	$18	$134	$717	535%	73–91	$1 – $8.3k
5	Aetna fee schedule · outpatient · +32 other terms	175	$17	$194	$721	371%	71–89	$1 – $8.4k
6	Anthem fee schedule · outpatient · +23 other terms	112	$13	$35	$53	151%	62–179	$1 – $523
7	Bcbs Al facility · other · outpatient · +4 other terms	4	$34	$36	$4	11%	40–67	$32 – $41
8	Molina fee schedule · outpatient · +30 other terms	86	$14	$31	$61	198%	32–77	$1 – $407
9	Blue Cross Blue Shield fee schedule · outpatient · +31 other terms	243	$34	$47	$59	127%	5–50	$0 – $519
10	Bcbs Fl facility · other · outpatient · +3 other terms	2	$1.2k	$1.3k	$175	14%	4–40	$970 – $1.5k
11	Bcbs Mt percent of total billed charges · inpatientfrom % of charges · +1 other terms	1	$28	$28	$0	1%	4–40	$28 – $29
12	Medica fee schedule · outpatient · +19 other terms	39	$29	$38	$24	63%	3–30	$5 – $321
13	Ambetter other · outpatient · +17 other terms	21	$954	$1.3k	$1.7k	132%	2–20	$9 – $6.6k
14	First Health fee schedule · outpatient · +18 other terms	35	$357	$326	$181	55%	1–10	$11 – $820
15	Bcbs Sc percent of total billed charges · bothfrom % of charges	1	$63	$63	—	—	1–10	$63 – $63
16	MultiPlan fee schedule · outpatient · +18 other terms	108	$223	$252	$190	75%	—	$12 – $846
17	Healthcare Highways percent of total billed charges · outpatientfrom % of charges · +3 other terms	58	$93	$366	$409	112%	—	$16 – $1.3k
18	Highmark facility · fee schedule · outpatient · +17 other terms	46	$10	$10	$3	30%	—	$8 – $34
19	Regence professional · fee schedule · outpatient · +17 other terms	46	$12	$17	$8	43%	—	$10 – $35
20	Amerihealth Caritas facility · fee schedule · outpatient · +15 other terms	45	$11	$22	$37	169%	—	$8 – $195
21	Optum professional · fee schedule · outpatient · +17 other terms	43	$12	$12	$1	13%	—	$8 – $14
22	WellCare fee schedule · outpatient · +19 other terms	43	$14	$21	$13	64%	—	$5 – $66
23	Caresource fee schedule · outpatient · +17 other terms	41	$99	$234	$74	32%	—	$1 – $409
24	Tricare professional · fee schedule · outpatient · +18 other terms	40	$11	$11	$1	7%	—	$10 – $13
25	Medicaid facility · fee schedule · outpatient · +13 other terms	39	$10	$36	$97	269%	—	$3 – $506

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