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
HC HEMOPHILUS INFLUENZA AB IGG
Low
$9
Average
$58
Median
$41
High
$295
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
65 payers; the 90th percentile is 6.3× 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 | Caresource fee schedule · outpatient · +12 other terms | 92 | $17 | $28 | $34 | 120% | 13–31 | $1 – $157 |
| 2 | Wellmark case rate · outpatient · +13 other terms | 15 | $16 | $22 | $10 | 45% | 4–40 | $16 – $41 |
| 3 | UnitedHealthcare fee schedule · outpatient · +30 other terms | 723 | $16 | $19 | $22 | 113% | — | $1 – $522 |
| 4 | Aetna fee schedule · outpatient · +25 other terms | 679 | $18 | $71 | $368 | 516% | — | $0 – $8.4k |
| 5 | Humana fee schedule · outpatient · +24 other terms | 480 | $16 | $37 | $51 | 137% | — | $1 – $522 |
| 6 | Cigna fee schedule · outpatient · +24 other terms | 466 | $33 | $41 | $38 | 93% | — | $5 – $254 |
| 7 | Blue Cross Blue Shield fee schedule · outpatient · +27 other terms | 455 | $24 | $42 | $46 | 108% | — | $1 – $358 |
| 8 | WellCare fee schedule · outpatient · +17 other terms | 308 | $16 | $19 | $11 | 58% | — | $12 – $154 |
| 9 | Molina fee schedule · outpatient · +25 other terms | 266 | $18 | $19 | $11 | 57% | — | $1 – $195 |
| 10 | Devoted fee schedule · outpatient · +12 other terms | 192 | $16 | $16 | $0 | 3% | — | $16 – $18 |
| 11 | Anthem fee schedule · outpatient · +21 other terms | 180 | $19 | $31 | $31 | 99% | — | $3 – $288 |
| 12 | Oscar fee schedule · outpatient · +17 other terms | 168 | $31 | $33 | $11 | 34% | — | $16 – $48 |
| 13 | Cigna Healthspring fee schedule · outpatient · +8 other terms | 132 | $16 | $16 | $1 | 7% | — | $10 – $26 |
| 14 | Ambetter facility · fee schedule · outpatient · +20 other terms | 117 | $28 | $29 | $7 | 23% | — | $8 – $40 |
| 15 | Aetna Better Health fee schedule · outpatient · +15 other terms | 106 | $14 | $16 | $9 | 58% | — | $8 – $73 |
| 16 | Kaiser fee schedule · outpatient · +15 other terms | 84 | $16 | $20 | $10 | 50% | — | $5 – $59 |
| 17 | Tricare facility · fee schedule · outpatient · +17 other terms | 82 | $16 | $16 | $6 | 35% | — | $13 – $52 |
| 18 | Highmark facility · fee schedule · outpatient · +16 other terms | 74 | $27 | $43 | $42 | 99% | — | $11 – $204 |
| 19 | Amerihealth Caritas fee schedule · outpatient · +11 other terms | 61 | $16 | $18 | $5 | 27% | — | $2 – $32 |
| 20 | Optum fee schedule · outpatient · +17 other terms | 59 | $16 | $21 | $9 | 43% | — | $16 – $47 |
| 21 | Clover fee schedule · outpatient · +7 other terms | 48 | $16 | $16 | $0 | 2% | — | $16 – $17 |
| 22 | Medicaid facility · fee schedule · outpatient · +12 other terms | 47 | $16 | $16 | $3 | 18% | — | $8 – $21 |
| 23 | Superior Healthplan fee schedule · outpatient · +5 other terms | 45 | $17 | $17 | $1 | 8% | — | $13 – $27 |
| 24 | First Health fee schedule · outpatient · +16 other terms | 41 | $16 | $26 | $36 | 140% | — | $13 – $274 |
| 25 | Medica facility · fee schedule · outpatient · +13 other terms | 37 | $16 | $16 | $4 | 26% | — | $5 – $41 |
← Hospitals reporting CPT 86684 · Snapshot 20261112T181611Z-3fa9fb76