Deep Sedation/General Anesthesia — Each Add'l 15 min (D9223) — National Rates

Negotiated reimbursement rates for D9223 across 43 states, sourced from CMS Transparency in Coverage data. 948 rate records.

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National Average Negotiated Rate
$112
948 rate records · 43 states
📊 Data updated monthly · Last refresh: March 2026

About D9223 — Deep Sedation/General Anesthesia — Each Add'l 15 min

D9223 is the code for Deep Sedation or General Anesthesia for each additional 15 minutes following the initial 15 minutes. This is essential for longer procedures that require ongoing sedation. Clinical indications include complex surgeries that exceed the initial time frame. Proper documentation is critical and should include the total duration of sedation, patient monitoring details, and any complications encountered. Average reimbursement for D9223 is approximately $112, but this can differ widely based on payor policies and state regulations, with some insurers requiring prior authorization for extended sedation.

Reimbursement rates for D9223 vary significantly by state, payor, and provider network. The national average negotiated rate is $112. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

Top Paying States for D9223

Nevada
$181
8 records
District of Columbia
$179
3 records
Delaware
$169
1 records

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Full National Breakdown

Median
$100
Low
$47
High
$394

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
Nevada$181
District of Columbia$179
Delaware$169
Colorado$167
Virginia$167

↓ Bottom 5

StateAvg Rate
Tennessee$68
Iowa$63
Nebraska$54
Idaho$47
South Dakota$47

All States — D9223 Average Rates

Nevada
$181
District of Columbia
$179
Delaware
$169
Colorado
$167
Virginia
$167
Connecticut
$154
Maine
$151
Maryland
$144
Pennsylvania
$144
Kentucky
$141
New York
$141
North Dakota
$140
Oregon
$139
California
$131
Washington
$130
Wisconsin
$126
Ohio
$125
New Jersey
$125
Arizona
$118
North Carolina
$118
Oklahoma
$116
Florida
$116
Texas
$113
Georgia
$110
Missouri
$106
New Hampshire
$106
Illinois
$105
Indiana
$104
South Carolina
$104
Michigan
$99
Alabama
$97
Vermont
$89
Massachusetts
$85
Kansas
$76
Louisiana
$75
New Mexico
$75
Minnesota
$70
Mississippi
$70
Tennessee
$68
Iowa
$63
Nebraska
$54
Idaho
$47
South Dakota
$47
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
Nevada$181$196$124$2408
District of Columbia$179$189$144$2043
Delaware$169$169$169$1691
Colorado$167$172$157$1723
Virginia$167$175$75$1999
Connecticut$154$165$75$1879
Maine$151$151$151$1511
Maryland$144$138$95$1855
Pennsylvania$144$104$81$3948
Kentucky$141$156$55$15615
New York$141$103$76$39451
North Dakota$140$124$79$2354
Oregon$139$139$139$1397
California$131$123$47$24045
Washington$130$130$127$1332
Wisconsin$126$137$55$1556
Ohio$125$152$47$1567
New Jersey$125$131$78$16313
Arizona$118$118$102$13913
North Carolina$118$118$100$1362
Oklahoma$116$116$116$1161
Florida$116$120$69$15923
Texas$113$116$47$17048
Georgia$110$111$75$15411
Missouri$106$109$47$1728
New Hampshire$106$89$82$1795
Illinois$105$109$47$17818
Indiana$104$93$93$1509
South Carolina$104$87$56$273425
Michigan$99$99$99$991
Alabama$97$97$97$971
Vermont$89$89$89$891
Massachusetts$85$75$75$12318
Kansas$76$66$47$17911
Louisiana$75$72$70$864
New Mexico$75$75$75$753
Minnesota$70$72$55$11618
Mississippi$70$70$70$701
Tennessee$68$65$65$836
Iowa$63$47$47$14810
Nebraska$54$54$47$602
Idaho$47$47$47$471
South Dakota$47$47$47$471
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