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Anesthesia For Electroconvulsive Therapy

Kentucky rates for HCPCS 00104

Anesthesia care during electroconvulsive therapy, a treatment for severe depression and certain other psychiatric conditions in which a brief seizure is brought on under anesthesia. The anesthesia clinician puts the patient to sleep, gives a muscle relaxant, supports breathing and monitors them until they wake.

Rates data updated October 2026.

How much rates vary

Facilitymedian $55 · 10th to 90th $48 to $269Professionalmedian $182 · 10th to 90th $48 to $339
$50$100$200$500facility $55professional $182

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$47.86
Median
$47.86
Typical High
$275.42
Aetna
Setting
Professional
Modifier
None
Typical Low
$41.69
Median
$47.86
Typical High
$346.74
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$186.21
Typical High
$288.40
CareSource
Setting
Facility
Modifier
None
Typical Low
$54.95
Median
$117.49
Typical High
$239.88
CareSource
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$100.00
Typical High
$208.93
Cigna
Setting
Facility
Modifier
None
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
Cigna
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$263.03
Typical High
$660.69
Molina
Setting
Professional
Modifier
None
Typical Low
$213.80
Median
$251.19
Typical High
$251.19
United
Setting
Professional
Modifier
None
Typical Low
$43.65
Median
$53.70
Typical High
$70.79
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Ambetter
Setting
Professional
Modifier
QZ · CRNA, independent
Typical Low
$151.36
Median
$151.36
Typical High
$151.36