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
PR SARSCOV2 VAC 3MCG TRS-SUC IM
Low
$34
Average
$174
Median
$85
High
$952
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
58 payers; the 90th percentile is 5.2× 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 | UnitedHealthcare fee schedule · outpatient · +28 other terms | 542 | $99 | $102 | $51 | 50% | — | $8 – $388 |
| 2 | Cigna fee schedule · outpatient · +19 other terms | 272 | $97 | $167 | $120 | 72% | — | $59 – $551 |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +26 other terms | 205 | $116 | $162 | $103 | 63% | — | $1 – $450 |
| 4 | Humana fee schedule · outpatient · +23 other terms | 187 | $64 | $74 | $38 | 51% | — | $16 – $248 |
| 5 | Aetna fee schedule · outpatient · +26 other terms | 146 | $66 | $254 | $869 | 342% | — | $38 – $8.4k |
| 6 | Anthem fee schedule · outpatient · +21 other terms | 93 | $66 | $73 | $28 | 39% | — | $16 – $305 |
| 7 | Molina fee schedule · outpatient · +22 other terms | 61 | $70 | $93 | $63 | 68% | — | $16 – $361 |
| 8 | Caresource fee schedule · outpatient · +13 other terms | 58 | $66 | $63 | $21 | 34% | — | $15 – $111 |
| 9 | Kaiser fee schedule · outpatient · +12 other terms | 33 | $66 | $72 | $25 | 34% | — | $50 – $167 |
| 10 | WellCare fee schedule · outpatient · +14 other terms | 30 | $66 | $64 | $6 | 9% | — | $39 – $69 |
| 11 | Aetna Better Health fee schedule · outpatient · +11 other terms | 23 | $68 | $69 | $5 | 7% | — | $66 – $81 |
| 12 | Medicare fee schedule · outpatient · +7 other terms | 23 | $64 | $61 | $6 | 10% | — | $38 – $64 |
| 13 | Devoted fee schedule · outpatient · +11 other terms | 21 | $66 | $65 | $1 | 1% | — | $64 – $68 |
| 14 | Healthpartners fee schedule · outpatient · +4 other terms | 19 | $78 | $78 | $2 | 2% | — | $75 – $80 |
| 15 | Bcbs Tx fee schedule · outpatient | 18 | $210 | $216 | $67 | 31% | — | $112 – $347 |
| 16 | Cigna Healthspring fee schedule · outpatient · +3 other terms | 17 | $69 | $68 | $1 | 2% | — | $66 – $69 |
| 17 | Tricare fee schedule · both · +9 other terms | 17 | $65 | $64 | $2 | 3% | — | $62 – $66 |
| 18 | Optum fee schedule · outpatient · +10 other terms | 16 | $64 | $64 | $3 | 5% | — | $51 – $66 |
| 19 | Carefirst facility · fee schedule · both · +5 other terms | 15 | $66 | $78 | $33 | 42% | — | $66 – $187 |
| 20 | Excellus facility · fee schedule · both · +9 other terms | 15 | $66 | $78 | $33 | 42% | — | $66 – $187 |
| 21 | Highmark facility · fee schedule · both · +10 other terms | 15 | $66 | $78 | $33 | 42% | — | $66 – $187 |
| 22 | Premera facility · fee schedule · both · +6 other terms | 15 | $66 | $78 | $33 | 42% | — | $66 – $187 |
| 23 | Regence facility · fee schedule · both · +10 other terms | 15 | $66 | $78 | $33 | 42% | — | $66 – $187 |
| 24 | Wellmark facility · fee schedule · both · +9 other terms | 15 | $66 | $74 | $28 | 38% | — | $66 – $187 |
| 25 | Clover fee schedule · outpatient · +3 other terms | 14 | $66 | $61 | $8 | 13% | — | $39 – $67 |
← Hospitals reporting CPT 91318 · Snapshot 20261112T181611Z-3fa9fb76