CPT 90701
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
DTP VACCINE IM UNSCHEDULED
Low
$6
Average
$3.3k
Median
$63
High
$33.5k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
23 payers; the 90th percentile is 718.3× 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.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield fee schedule · outpatient · +8 other terms | 27 | $17 | $47 | $52 | 111% | — | $10 – $156 |
| 2 | Aetna fee schedule · outpatient · +8 other terms | 5 | $20 | $79 | $75 | 95% | — | $14 – $170 |
| 3 | Caresource professional · percent of total billed charges · bothfrom % of charges | 4 | $30 | $30 | — | — | — | $30 – $30 |
| 4 | UnitedHealthcare fee schedule · outpatient · +8 other terms | 4 | $30 | $31 | $17 | 55% | — | $6 – $45 |
| 5 | Cigna other · both · +5 other terms | 3 | $83 | $83 | $1 | 1% | — | $80 – $83 |
| 6 | Humana fee schedule · outpatient · +4 other terms | 3 | $5.5k | $4.7k | $3.0k | 64% | — | $14 – $8.3k |
| 7 | Molina fee schedule · outpatient · +2 other terms | 3 | $45 | $39 | $12 | 31% | — | $15 – $45 |
| 8 | MultiPlan professional · percent of total billed charges · bothfrom % of charges · +3 other terms | 3 | $60 | $58 | $4 | 7% | — | $51 – $61 |
| 9 | Aetna Better Health fee schedule · inpatient | 2 | $85 | $85 | — | — | — | $85 – $85 |
| 10 | Ambetter professional · percent of total billed charges · bothfrom % of charges · +3 other terms | 2 | $51 | $51 | — | — | — | $51 – $51 |
← Hospitals reporting CPT 90701 · Snapshot 20261113T090226Z-3ce6c0b8