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New York rates for HCPCS 00104

Anesthesia for electroconvulsive therapy

Facilitymedian $31 · 10th–90th $31–$310%50%100%$31Professionalmedian $851 · 10th–90th $417–$1,0720%10%20%10th90th$851$50.0$100.0$200.0$500.0$1.0K

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
AA
Typical Low / Median / Typical High
$416.87 / $851.14 / $1,071.52
Ambetter
Facility/Professional
Professional
Modifier
AA
Typical Low / Median / Typical High
$109.65 / $109.65 / $549.54
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
Highmark BCBS
Facility/Professional
Professional
Modifier
AA
Typical Low / Median / Typical High
$158.49 / $239.88 / $512.86
United
Facility/Professional
Professional
Modifier
AA
Typical Low / Median / Typical High
$346.74 / $346.74 / $346.74