search again

Nationwide rates for HCPCS 00104

Anesthesia for electroconvulsive therapy

Facilitymedian $52 · 10th–90th $31–$980%20%40%10th90th$52Professionalmedian $501 · 10th–90th $355–$8510%10%10th90th$501$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
QX
Typical Low / Median / Typical High
$61.66 / $97.72 / $97.72
Aetna
Facility/Professional
Professional
Modifier
AA
Typical Low / Median / Typical High
$354.81 / $501.19 / $851.14
Cigna
Facility/Professional
Facility
Modifier
QK
Typical Low / Median / Typical High
$30.90 / $30.90 / $30.90
Cigna
Facility/Professional
Facility
Modifier
QX
Typical Low / Median / Typical High
$30.90 / $30.90 / $30.90
Cigna
Facility/Professional
Facility
Modifier
QY
Typical Low / Median / Typical High
$30.90 / $30.90 / $30.90
Cigna
Facility/Professional
Professional
Modifier
AA
Typical Low / Median / Typical High
$354.81 / $436.52 / $575.44
United
Facility/Professional
Professional
Modifier
AA
Typical Low / Median / Typical High
$79.43 / $79.43 / $346.74

See more rates by state

Want provider-level rates data? We offer custom data extracts for a reasonable fee. To learn more, please email us.