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Anesthesia For Electroconvulsive Therapy

South Dakota 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 $275 · 10th to 90th $251 to $275Professionalmedian $83 · 10th to 90th $45 to $389
$50$100$200$500$1K$2Kfacility $275professional $83

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
$251.19
Median
$275.42
Typical High
$275.42
Aetna
Setting
Professional
Modifier
None
Typical Low
$34.67
Median
$218.78
Typical High
$275.42
Cigna
Setting
Professional
Modifier
None
Typical Low
$302.00
Median
$302.00
Typical High
$323.59
Medica
Setting
Facility
Modifier
None
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$2,754.23
Medica
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$60.26
Typical High
$1,122.02
United
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$60.26
Typical High
$83.18
Wellmark
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$309.03
Typical High
$389.05
Wellmark
Setting
Professional
Modifier
QX · CRNA, directed
Typical Low
$194.98
Median
$194.98
Typical High
$213.80
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
Cigna
Setting
Professional
Modifier
AA · Anesthesiologist
Typical Low
$354.81
Median
$398.11
Typical High
$436.52