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
Cciiv4 vacc abx free im
Low
$6
Average
$158
Median
$62
High
$1.7k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
52 payers; the 90th percentile is 9.7× 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 | Cigna fee schedule · outpatient · +18 other terms | 233 | $49 | $84 | $65 | 78% | — | $27 – $273 |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +23 other terms | 196 | $49 | $61 | $34 | 55% | — | $1 – $185 |
| 3 | UnitedHealthcare fee schedule · outpatient · +23 other terms | 170 | $32 | $123 | $967 | 785% | — | $11 – $11.6k |
| 4 | Aetna fee schedule · outpatient · +22 other terms | 116 | $35 | $265 | $1.1k | 409% | — | $10 – $8.4k |
| 5 | Anthem fee schedule · outpatient · +20 other terms | 89 | $51 | $52 | $30 | 59% | — | $13 – $135 |
| 6 | Humana fee schedule · outpatient · +19 other terms | 64 | $143 | $121 | $78 | 64% | — | $16 – $222 |
| 7 | Bcbs Tx fee schedule · outpatient · +2 other terms | 31 | $86 | $79 | $27 | 34% | — | $25 – $137 |
| 8 | Molina facility · case rate · outpatient · +19 other terms | 28 | $15 | $16 | $7 | 44% | — | $6 – $36 |
| 9 | Healthpartners fee schedule · outpatient · +5 other terms | 19 | $39 | $39 | $3 | 7% | — | $38 – $51 |
| 10 | Regence professional · fee schedule · outpatient · +5 other terms | 19 | $31 | $31 | — | — | — | $31 – $31 |
| 11 | Caresource facility · case rate · outpatient · +6 other terms | 16 | $9 | $12 | $7 | 54% | — | $6 – $29 |
| 12 | Wellmark fee schedule · outpatient · +6 other terms | 15 | $29 | $29 | — | — | — | $29 – $29 |
| 13 | Aetna Better Health fee schedule · outpatient · +7 other terms | 13 | $33 | $93 | $109 | 117% | — | $28 – $352 |
| 14 | Optum facility · case rate · outpatient · +7 other terms | 13 | $9 | $11 | $4 | 34% | — | $8 – $18 |
| 15 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $27 | $29 | $7 | 26% | — | $14 – $33 |
| 16 | Bcbs Nj fee schedule · outpatient · +3 other terms | 12 | $32 | $31 | $2 | 5% | — | $28 – $32 |
| 17 | Medica fee schedule · outpatient · +8 other terms | 12 | $64 | $64 | $17 | 27% | — | $32 – $85 |
| 18 | Amerihealth Caritas other · outpatient · +7 other terms | 11 | $83 | $107 | $93 | 86% | — | $7 – $352 |
| 19 | Bcbs La fee schedule · outpatient · +2 other terms | 11 | $28 | $29 | $7 | 25% | — | $10 – $32 |
| 20 | Highmark fee schedule · outpatient · +8 other terms | 11 | $38 | $40 | $11 | 28% | — | $14 – $96 |
| 21 | Medical Mutual facility · fee schedule · outpatient · +6 other terms | 11 | $93 | $696 | $3.2k | 460% | — | $54 – $17.6k |
| 22 | Bcbs Il professional · fee schedule · both | 9 | $25 | $21 | $16 | 77% | — | $0 – $33 |
| 23 | Premera fee schedule · outpatient · +3 other terms | 9 | $62 | $57 | $10 | 17% | — | $43 – $75 |
| 24 | Ucare fee schedule · both · +2 other terms | 9 | $31 | $31 | — | — | — | $31 – $31 |
| 25 | WellCare other · outpatient · +13 other terms | 9 | $83 | $99 | $49 | 50% | — | $59 – $294 |
← Hospitals reporting CPT 90756 · Snapshot 20261112T181611Z-3fa9fb76