CPT code 99153: Moderate sedation, each additional 15 minutes2026 Medicare rate & RVUs in Redding, CA
Reports each additional 15-minute increment of moderate sedation when the physician or qualified health care professional also performs the underlying procedure.
In Redding, CA, Medicare pays $13.17 for 99153 in the office.
Check a contract rate as a % of Medicare · 99153 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 99153 covers
Code 99153 represents additional intraservice time for moderate sedation provided by the physician or qualified health care professional performing the procedure that requires sedation. It may be relevant during services such as endoscopy, cardiac catheterization, or image-guided intervention when the procedural clinician provides the sedation and a trained observer assists with monitoring the patient’s level of consciousness and physiological status. Count the time spent providing the sedation service, not recovery time.
Report 99153 only with the related primary procedure and the appropriate initial same-provider sedation code, 99151 or 99152. Documentation should identify who performed the procedure and sedation, the observer, the patient’s monitored status, and the intraservice time supporting each additional unit. CMS treats this as an add-on code paid within the primary procedure’s global period. It is technical-component-only; a separate code covers interpretation.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
How Redding, CA compares for 99153
Across 109 of 109 payment localities, the office rate for 99153 runs from $10.39 in Arkansas to $17.22 in San Benito County, CA. Redding, CA pays $13.17. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Redding, CA · this page$13.17
- Bakersfield, CA · California$13.22+$0.05
- Chico, CA · California$13.17
- El Centro, CA · California$13.17
- Fresno, CA · California$13.17
- Hanford, CA · California$13.17
- Los Angeles, CA · California$14.27+$1.10
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Madera, CACalifornia | $13.17 | — |
| Merced, CACalifornia | $13.17 | — |
| Modesto, CACalifornia | $13.17 | — |
| Napa, CACalifornia | $15.75 | — |
| Oxnard, CACalifornia | $14.23 | — |
| Rest of CaliforniaCalifornia | $13.17 | — |
| Riverside, CACalifornia | $13.38 | — |
| Sacramento, CACalifornia | $13.95 | — |
| Salinas, CACalifornia | $13.91 | — |
| San Diego, CACalifornia | $14.34 | — |
| Marin County, CACalifornia | $16.79 | — |
| San Francisco, CACalifornia | $16.77 | — |
| San Benito County, CACalifornia | $17.22 | — |
| Santa Clara County, CACalifornia | $17.12 | — |
| San Luis Obispo, CACalifornia | $13.67 | — |
| Santa Cruz, CACalifornia | $14.56 | — |
| Santa Maria, CACalifornia | $13.99 | — |
| Santa Rosa, CACalifornia | $14.71 | — |
| Stockton, CACalifornia | $13.17 | — |
| Vallejo, CACalifornia | $15.71 | — |
| Visalia, CACalifornia | $13.17 | — |
| Yuba City, CACalifornia | $13.17 | — |
| Washington, DC areaDistrict of Columbia | $14.51 | — |
| Miami, FLFlorida | $13.86 | — |
| Chicago, ILIllinois | $13.28 | — |
| Manhattan, NYNew York | $14.64 | — |
| AlaskaAlaska | $12.82 | — |
| AlabamaAlabama | $10.61 | — |
| ArkansasArkansas | $10.39 | — |
| ArizonaArizona | $11.90 | — |
| ColoradoColorado | $12.96 | — |
| ConnecticutConnecticut | $13.40 | — |
| DelawareDelaware | $12.15 | — |
| Fort Lauderdale, FLFlorida | $13.05 | — |
| Rest of FloridaFlorida | $12.18 | — |
| Atlanta, GAGeorgia | $12.68 | — |
| Rest of GeorgiaGeorgia | $11.22 | — |
| Hawaii, Guam, HIHawaii | $13.68 | — |
| IowaIowa | $10.96 | — |
| IdahoIdaho | $11.07 | — |
| East St. Louis, ILIllinois | $12.10 | — |
| Rest of IllinoisIllinois | $11.72 | — |
| Suburban Chicago, ILIllinois | $13.19 | — |
| IndianaIndiana | $11.16 | — |
| KansasKansas | $10.90 | — |
| KentuckyKentucky | $11.00 | — |
| New Orleans, LALouisiana | $11.76 | — |
| Rest of LouisianaLouisiana | $10.99 | — |
| Metropolitan Boston, MAMassachusetts | $14.55 | — |
| Rest of MassachusettsMassachusetts | $12.84 | — |
| Baltimore area, MDMaryland | $13.37 | — |
| Rest of MarylandMaryland | $12.44 | — |
| Rest of MaineMaine | $11.17 | — |
| Southern Maine, MEMaine | $12.01 | — |
| Detroit, MIMichigan | $12.41 | — |
| Rest of MichiganMichigan | $11.43 | — |
| MinnesotaMinnesota | $12.23 | — |
| Metropolitan Kansas City, MOMissouri | $11.63 | — |
| Metropolitan St. Louis, MOMissouri | $11.80 | — |
| Rest of MissouriMissouri | $10.73 | — |
| MississippiMississippi | $10.56 | — |
| MontanaMontana | $12.36 | — |
| North CarolinaNorth Carolina | $11.33 | — |
| North DakotaNorth Dakota | $11.96 | — |
| NebraskaNebraska | $11.04 | — |
| New HampshireNew Hampshire | $12.75 | — |
| Northern New JerseyNew Jersey | $14.27 | — |
| Rest of New JerseyNew Jersey | $13.50 | — |
| New MexicoNew Mexico | $11.52 | — |
| NevadaNevada | $12.26 | — |
| NYC suburbs and Long Island, NYNew York | $15.14 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $13.61 | — |
| Queens, NYNew York | $14.78 | — |
| Rest of New YorkNew York | $11.58 | — |
| OhioOhio | $11.35 | — |
| OklahomaOklahoma | $10.96 | — |
| Portland, OROregon | $13.48 | — |
| Rest of OregonOregon | $12.11 | — |
| Metropolitan Philadelphia, PAPennsylvania | $12.97 | — |
| Rest of PennsylvaniaPennsylvania | $11.36 | — |
| Puerto RicoPuerto Rico | $12.48 | — |
| Rhode IslandRhode Island | $12.67 | — |
| South CarolinaSouth Carolina | $11.37 | — |
| South DakotaSouth Dakota | $11.91 | — |
| TennesseeTennessee | $10.99 | — |
| Austin, TXTexas | $12.96 | — |
| Beaumont, TXTexas | $11.26 | — |
| Brazoria, TXTexas | $12.11 | — |
| Dallas, TXTexas | $12.22 | — |
| Fort Worth, TXTexas | $12.11 | — |
| Galveston, TXTexas | $12.16 | — |
| Houston, TXTexas | $12.53 | — |
| Rest of TexasTexas | $11.70 | — |
| UtahUtah | $11.59 | — |
| VirginiaVirginia | $11.96 | — |
| Virgin Islands, VIUnited States Virgin Islands | $12.48 | — |
| VermontVermont | $11.91 | — |
| Rest of WashingtonWashington | $12.82 | — |
| King County, WAWashington | $14.89 | — |
| WisconsinWisconsin | $11.41 | — |
| West VirginiaWest Virginia | $11.11 | — |
| WyomingWyoming | $12.18 | — |
99153 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$10.39
$15.20
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $12.82 | 1 |
| AL | $10.61 | 1 |
| AR | $10.39 | 1 |
| AZ | $11.90 | 1 |
| CA | $13.17–$17.22 | 29 |
| CO | $12.96 | 1 |
| CT | $13.40 | 1 |
| DC | $14.51 | 1 |
| DE | $12.15 | 1 |
| FL | $12.18–$13.86 | 3 |
| GA | $11.22–$12.68 | 2 |
| GU | $13.68 | 1 |
| HI | $13.68 | 1 |
| IA | $10.96 | 1 |
| ID | $11.07 | 1 |
| IL | $11.72–$13.28 | 4 |
| IN | $11.16 | 1 |
| KS | $10.90 | 1 |
| KY | $11.00 | 1 |
| LA | $10.99–$11.76 | 2 |
| MA | $12.84–$14.55 | 2 |
| MD | $12.44–$14.51 | 3 |
| ME | $11.17–$12.01 | 2 |
| MI | $11.43–$12.41 | 2 |
| MN | $12.23 | 1 |
| MO | $10.73–$11.80 | 3 |
| MS | $10.56 | 1 |
| MT | $12.36 | 1 |
| NC | $11.33 | 1 |
| ND | $11.96 | 1 |
| NE | $11.04 | 1 |
| NH | $12.75 | 1 |
| NJ | $13.50–$14.27 | 2 |
| NM | $11.52 | 1 |
| NV | $12.26 | 1 |
| NY | $11.58–$15.14 | 5 |
| OH | $11.35 | 1 |
| OK | $10.96 | 1 |
| OR | $12.11–$13.48 | 2 |
| PA | $11.36–$12.97 | 2 |
| PR | $12.48 | 1 |
| RI | $12.67 | 1 |
| SC | $11.37 | 1 |
| SD | $11.91 | 1 |
| TN | $10.99 | 1 |
| TX | $11.26–$12.96 | 8 |
| UT | $11.59 | 1 |
| VA | $11.96–$14.51 | 2 |
| VI | $12.48 | 1 |
| VT | $11.91 | 1 |
| WA | $12.82–$14.89 | 2 |
| WI | $11.41 | 1 |
| WV | $11.11 | 1 |
| WY | $12.18 | 1 |
How the 99153 rate is calculated
Each of 99153’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 99153
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense0.35
0.35 RVUs× 1.000 GPCI
Malpractice0.02
0.02 RVUs× 1.000 GPCI
Adjusted RVUs
0.3700
Conversion factor
$33.4009
Medicare rate
$12.36
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Redding, CA inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
12,991
- Code
- 99153
- Physician work
- 0.00
- Practice expense
- 0.35
- Malpractice
- 0.02
GPCI2026.csv
19
- Locality
- Redding, CA
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.017 | 0.0000 |
| Practice expense | 0.35 | × 1.096 | 0.3836 |
| Malpractice | 0.02 | × 0.536 | 0.0107 |
| Total RVUs | 0.3943 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Redding, CA$13.17
Office: (0 × 1.017 + 0.35 × 1.096 + 0.02 × 0.536) × $33.4009 = $13.17
Payment rules and modifiers for 99153
The CMS indicators that decide how 99153 is paid alongside other services.
CMS payment indicators · 99153
Moderate sedation, each additional 15 minutes
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 9 | The concept doesn’t apply. |
| Bilateral (modifier 50) | 9 | The concept doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 9 | The concept doesn’t apply. |
| Co-surgeons (62) | 9 | The concept doesn’t apply. |
| Team surgery (66) | 9 | The concept doesn’t apply. |
| Professional/technical | 3 | Technical component only. |
How 99153 has changed in Redding, CA
99153 · Office / nonfacility
$13.17
Effective 2026-10-01
The base rate is $0.79 higher than on 2025-10-01, moving from $12.38 to $13.17 (6.4%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
$12.38changed to$13.17
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 0.34 changed to 0.35
- Work GPCI 1.014 changed to 1.017
- Practice expense GPCI 1.093 changed to 1.096
- Malpractice GPCI 0.560 changed to 0.536
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$12.38changed to$12.38
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 0.33 changed to 0.34
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$12.18changed to$12.38
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$11.73changed to$12.18
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 0.31 changed to 0.33
- Work GPCI 1.021 changed to 1.014
- Practice expense GPCI 1.079 changed to 1.093
- Malpractice GPCI 0.579 changed to 0.560
January 1, 2023
RVU23A
$11.47changed to$11.73
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 0.30 changed to 0.31
- Work GPCI 1.027 changed to 1.021
- Practice expense GPCI 1.065 changed to 1.079
- Malpractice GPCI 0.597 changed to 0.579
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$11.36changed to$11.47
- Conversion factor 34.8931 changed to 34.6062
- Malpractice RVU 0.01 changed to 0.02
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$11.41changed to$11.36
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.29 changed to 0.30
- Work GPCI 1.024 changed to 1.027
- Practice expense GPCI 1.070 changed to 1.065
- Malpractice GPCI 0.580 changed to 0.597
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$11.43changed to$11.41
- Conversion factor 36.0391 changed to 36.0896
- Work GPCI 1.020 changed to 1.024
- Practice expense GPCI 1.074 changed to 1.070
- Malpractice GPCI 0.562 changed to 0.580
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$11.80changed to$11.43
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 0.30 changed to 0.29
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$11.84changed to$11.80
- Conversion factor 35.8887 changed to 35.9996
- Work GPCI 1.024 changed to 1.020
- Practice expense GPCI 1.079 changed to 1.074
- Malpractice GPCI 0.610 changed to 0.562
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
No ratechanged to$11.84
Held through RVU17B, RVU17C, RVU17D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $13.17 | Not available in this setting | RVU26D |
| 2026-07-01 | $13.17 | Not available in this setting | RVU26C |
| 2026-04-01 | $13.17 | Not available in this setting | RVU26B |
| 2026-01-01 | $13.17 | Not available in this setting | RVU26A |
| 2025-10-01 | $12.38 | Not available in this setting | RVU25D |
| 2025-07-01 | $12.38 | Not available in this setting | RVU25C |
| 2025-04-01 | $12.38 | Not available in this setting | RVU25B |
| 2025-01-01 | $12.38 | Not available in this setting | RVU25A |
| 2024-10-01 | $12.38 | Not available in this setting | RVU24D |
| 2024-07-01 | $12.38 | Not available in this setting | RVU24C |
| 2024-04-01 | $12.38 | Not available in this setting | RVU24B |
| 2024-03-09 | $12.38 | Not available in this setting | RVU24AR |
| 2024-01-01 | $12.18 | Not available in this setting | RVU24A |
| 2023-10-01 | $11.73 | Not available in this setting | RVU23D |
| 2023-07-01 | $11.73 | Not available in this setting | RVU23C |
| 2023-04-01 | $11.73 | Not available in this setting | RVU23B |
| 2023-01-01 | $11.73 | Not available in this setting | RVU23A |
| 2022-10-01 | $11.47 | Not available in this setting | RVU22D |
| 2022-07-01 | $11.47 | Not available in this setting | RVU22C |
| 2022-04-01 | $11.47 | Not available in this setting | RVU22B |
| 2022-01-01 | $11.47 | Not available in this setting | RVU22A |
| 2021-10-01 | $11.36 | Not available in this setting | RVU21D |
| 2021-07-01 | $11.36 | Not available in this setting | RVU21C |
| 2021-04-01 | $11.36 | Not available in this setting | RVU21B |
| 2021-01-01 | $11.36 | Not available in this setting | RVU21A |
| 2020-10-01 | $11.41 | Not available in this setting | RVU20D |
| 2020-07-01 | $11.41 | Not available in this setting | RVU20C |
| 2020-04-01 | $11.41 | Not available in this setting | RVU20B |
| 2020-01-01 | $11.41 | Not available in this setting | RVU20A |
| 2019-10-01 | $11.43 | Not available in this setting | RVU19D |
| 2019-07-01 | $11.43 | Not available in this setting | RVU19C |
| 2019-04-01 | $11.43 | Not available in this setting | RVU19B |
| 2019-01-01 | $11.43 | Not available in this setting | RVU19A |
| 2018-10-01 | $11.80 | Not available in this setting | RVU18D |
| 2018-07-01 | $11.80 | Not available in this setting | RVU18C |
| 2018-04-01 | $11.80 | Not available in this setting | RVU18B |
| 2018-01-01 | $11.80 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $11.84 | Not available in this setting | RVU17D |
| 2017-07-01 | $11.84 | Not available in this setting | RVU17C |
| 2017-04-01 | $11.84 | Not available in this setting | RVU17B |
| 2017-01-01 | $11.84 | Not available in this setting | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the Redding, CA rate applies
Redding, CA is a Medicare payment area, not a city. Our Census mapping connects it to 32 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
- Redding
- Anderson
- Bella Vista
- Big Bend
- Burney
- Cassel
- Castella
- Centerville
99153 billing questions
Can 99153 be reported by itself?
No. It is an add-on code and must be reported with the related primary procedure and the appropriate initial same-provider sedation code.
Should 99153 be paired with 99151 or 99152?
Use 99151 for the initial same-provider sedation service for a patient younger than 5 years, or 99152 for a patient age 5 or older. Code 99153 reports additional time.
When is 99157 used instead?
99157 is for additional moderate-sedation time when a physician or qualified health care professional other than the procedural clinician provides the sedation.
What time should the record support?
Document the intraservice sedation time and the additional time represented by the units billed. Recovery time is not the additional sedation time reported with 99153.
Does 99153 include an interpretation service?
No. CMS classifies 99153 as technical-component-only, with interpretation covered by a separate code.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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