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
Iiv adjuvant vaccine im
Low
$1
Average
$126
Median
$104
High
$467
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
62 payers; the 90th percentile is 3.2× 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 | Wellmark fee schedule · outpatient · +18 other terms | 29 | $83 | $82 | $9 | 11% | 2,443 | $52 – $98 |
| 2 | UnitedHealthcare fee schedule · outpatient · +27 other terms | 625 | $138 | $142 | $99 | 70% | 70 | $0 – $1.6k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +27 other terms | 291 | $108 | $129 | $87 | 67% | 12–120 | $0 – $545 |
| 4 | Anthem fee schedule · outpatient · +24 other terms | 128 | $98 | $110 | $81 | 73% | 6–60 | $8 – $564 |
| 5 | Sanford Health Plan fee schedule · outpatient · +12 other terms | 17 | $128 | $138 | $89 | 65% | 2–20 | $0 – $377 |
| 6 | Medica fee schedule · outpatient · +16 other terms | 71 | $78 | $89 | $59 | 66% | 1–10 | $0 – $333 |
| 7 | Cigna fee schedule · outpatient · +23 other terms | 308 | $125 | $218 | $153 | 70% | — | $5 – $703 |
| 8 | Humana fee schedule · outpatient · +23 other terms | 292 | $92 | $127 | $129 | 102% | — | $0 – $532 |
| 9 | Aetna fee schedule · outpatient · +27 other terms | 195 | $99 | $227 | $774 | 341% | — | $2 – $8.4k |
| 10 | Molina fee schedule · outpatient · +25 other terms | 79 | $84 | $114 | $117 | 103% | — | $12 – $1.2k |
| 11 | MultiPlan fee schedule · outpatient · +18 other terms | 59 | $122 | $162 | $115 | 71% | — | $27 – $727 |
| 12 | Caresource fee schedule · outpatient · +17 other terms | 58 | $98 | $104 | $35 | 34% | — | $23 – $177 |
| 13 | Kaiser fee schedule · outpatient · +15 other terms | 54 | $96 | $122 | $151 | 123% | — | $5 – $1.3k |
| 14 | WellCare fee schedule · outpatient · +16 other terms | 36 | $87 | $85 | $18 | 22% | — | $32 – $100 |
| 15 | Optum fee schedule · outpatient · +19 other terms | 32 | $83 | $80 | $36 | 45% | — | $30 – $213 |
| 16 | Bcbs Tx fee schedule · outpatient · +2 other terms | 30 | $191 | $174 | $58 | 33% | — | $71 – $301 |
| 17 | Regence facility · fee schedule · both · +13 other terms | 30 | $98 | $118 | $42 | 35% | — | $77 – $280 |
| 18 | Carefirst facility · fee schedule · both · +7 other terms | 29 | $98 | $118 | $42 | 36% | — | $77 – $280 |
| 19 | Excellus facility · fee schedule · both · +11 other terms | 29 | $98 | $110 | $39 | 36% | — | $77 – $280 |
| 20 | Highmark facility · fee schedule · both · +15 other terms | 29 | $98 | $118 | $42 | 36% | — | $77 – $280 |
| 21 | Premera facility · fee schedule · both · +10 other terms | 29 | $98 | $118 | $42 | 36% | — | $77 – $280 |
| 22 | Baylor Scott White Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 26 | $87 | $78 | $12 | 16% | — | $61 – $95 |
| 23 | Aetna Better Health fee schedule · outpatient · +11 other terms | 25 | $98 | $110 | $142 | 129% | — | $1 – $597 |
| 24 | Medicare facility · fee schedule · outpatient · +14 other terms | 25 | $33 | $124 | $333 | 268% | — | $0 – $2.2k |
| 25 | Bcbs La fee schedule · outpatient · +2 other terms | 24 | $83 | $80 | $8 | 10% | — | $60 – $83 |
← Hospitals reporting CPT 90653 · Snapshot 20261111T120946Z-9134e7f7