Additional time of moderate sedation by 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 Other Phys/Qhp Ea

Payers reporting CPT 99157

Payer pricing summary

Low

Average

$212

Median

$146

High

$1.8k

Payer rate distribution

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#
1	Florida Blue percent of total billed charges · bothfrom % of charges · +1 other terms	1	$281	$281	$46	17%	2–20	$229 – $349
2	Humana fee schedule · outpatient · +28 other terms	146	$58	$288	$951	330%	1–10	$20 – $8.3k
3	Cigna fee schedule · outpatient · +27 other terms	113	$83	$186	$460	248%	1–10	$24 – $4.4k
4	UnitedHealthcare fee schedule · outpatient · +33 other terms	246	$70	$160	$170	106%	—	$1 – $1.7k
5	Blue Cross Blue Shield fee schedule · outpatient · +31 other terms	224	$183	$182	$108	59%	—	$0 – $654
6	Aetna fee schedule · outpatient · +30 other terms	151	$64	$253	$884	350%	—	$11 – $8.4k
7	Anthem fee schedule · outpatient · +23 other terms	105	$56	$152	$186	122%	—	$34 – $1.1k
8	MultiPlan fee schedule · outpatient · +18 other terms	100	$190	$238	$168	70%	—	$40 – $828
9	Molina fee schedule · outpatient · +25 other terms	71	$48	$60	$52	86%	—	$16 – $273
10	Kaiser fee schedule · outpatient · +21 other terms	60	$62	$117	$125	107%	—	$48 – $633
11	WellCare fee schedule · both · +17 other terms	42	$52	$53	$17	32%	—	$14 – $92
12	Medica fee schedule · outpatient · +18 other terms	37	$103	$137	$69	50%	—	$27 – $321
13	Caresource fee schedule · outpatient · +15 other terms	33	$94	$241	$68	28%	—	$34 – $296
14	First Health fee schedule · outpatient · +17 other terms	32	$352	$336	$224	67%	—	$50 – $1.2k
15	Aetna Better Health fee schedule · outpatient · +16 other terms	29	$54	$85	$82	97%	—	$20 – $352
16	Regence professional · fee schedule · outpatient · +14 other terms	29	$60	$97	$47	48%	—	$50 – $192
17	Optum professional · fee schedule · outpatient · +16 other terms	27	$51	$50	$4	8%	—	$41 – $59
18	Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges	26	$96	$74	$26	35%	—	$14 – $104
19	Medicaid fee schedule · outpatient · +9 other terms	26	$59	$64	$53	83%	—	$1 – $335
20	Amerihealth Caritas facility · fee schedule · outpatient · +12 other terms	24	$56	$57	$31	54%	—	$17 – $195
21	Phcs fee schedule · outpatient · +13 other terms	23	$80	$103	$40	38%	—	$71 – $211
22	Devoted fee schedule · outpatient · +12 other terms	22	$55	$55	$1	1%	—	$54 – $57
23	Healthcare Highways percent of total billed charges · outpatientfrom % of charges · +2 other terms	22	$65	$97	$132	136%	—	$17 – $752
24	Highmark fee schedule · outpatient · +11 other terms	22	$58	$58	$5	8%	—	$31 – $76
25	Wellmark fee schedule · both · +15 other terms	20	$81	$85	$18	21%	—	$53 – $105

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