CPT 00104: Anesthesia for Electroconvulsive Therapy
Commercial payers pay $81 on average nationally for this procedure.
CPT code 00104 describes anesthesia services provided for a patient undergoing electroconvulsive therapy, a procedural anesthesia service typically delivered by an anesthesiologist or CRNA in an inpatient or outpatient procedural suite or hospital operating room where monitored general anesthesia or deep sedation is required for ECT treatments.
For related coverage guidance, see recent payer policy updates: Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric or Substance Use Disorders, Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric or Substance Use Disorders, Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric or Substance Use Disorders.
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National Reimbursement Benchmarks
National commercial rates for CPT 00104 center around BUCA’s mean of $80.6 as an average commercial benchmark, with individual payers displaying meaningful dispersion. Blue Cross Blue Shield’s interquartile spread (P75–P25 = $96.50 - $53.70) is $42.80, Aetna’s spread ($123.80 - $55.00) is $68.80, Cigna’s spread ($108.10 - $67.60) is $40.50, and UnitedHealth Group’s spread ($81.40 - $52.00) is $29.40. These spreads indicate variability in negotiated commercial pricing relative to the BUCA average.
UnitedHealth Group shows the tightest IQR at $29.40, suggesting more concentrated commercial rates, while Aetna has the widest IQR at $68.80, indicating greater variability among contracted rates. Blue Cross Blue Shield and Cigna fall between those extremes with IQRs of $42.80 and $40.50 respectively, framing the market variability around BUCA’s mean.