CPT 1004T
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Elec alys s-scl eeg wo prgrm
Low
$71
Average
$216
Median
$140
High
$1.1k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
22 payers; the 90th percentile is 3.6× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Molina facility · case rate · outpatient · +2 other terms | 46 | $104 | $128 | $40 | 31% | — | $71 – $279 |
| 2 | UnitedHealthcare facility · case rate · outpatient · +1 other terms | 42 | $134 | $133 | $55 | 41% | — | $76 – $382 |
| 3 | Humana facility · case rate · outpatient · +1 other terms | 29 | $141 | $131 | $19 | 15% | — | $87 – $152 |
| 4 | Aetna facility · case rate · outpatient · +1 other terms | 27 | $141 | $138 | $16 | 11% | — | $87 – $169 |
| 5 | Anthem facility · case rate · outpatient | 17 | $89 | $206 | $138 | 67% | — | $79 – $536 |
| 6 | Caresource facility · case rate · outpatient | 17 | $91 | $126 | $70 | 56% | — | $77 – $272 |
| 7 | Regence facility · case rate · outpatient | 15 | $139 | $141 | $4 | 3% | — | $135 – $152 |
| 8 | Optum facility · case rate · outpatient | 13 | $81 | $86 | $18 | 21% | — | $71 – $129 |
| 9 | WellCare case rate · outpatient · +1 other terms | 12 | $143 | $144 | $3 | 2% | — | $140 – $147 |
| 10 | Blue Cross Blue Shield case rate · outpatient · +1 other terms | 11 | $139 | $137 | $8 | 6% | — | $114 – $143 |
← Hospitals reporting CPT 1004T · Snapshot 20261113T090226Z-3ce6c0b8