COVID-19 mRNA vaccine, 30 mcg dose

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Sarscv2 vac 30mcg trs-suc im

Payers reporting CPT 91320

Payer pricing summary

Low

$35

Average

$678

Median

$207

High

$9.2k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +33 other terms	583	$242	$256	$159	62%	—	$1 – $1.7k
2	Cigna fee schedule · outpatient · +24 other terms	290	$230	$387	$260	67%	—	$70 – $1.3k
3	Blue Cross Blue Shield fee schedule · outpatient · +30 other terms	234	$259	$339	$215	63%	—	$1 – $1.2k
4	Humana fee schedule · outpatient · +27 other terms	209	$151	$174	$70	40%	—	$1 – $497
5	Aetna fee schedule · outpatient · +28 other terms	162	$168	$359	$635	177%	—	$1 – $8.4k
6	Anthem fee schedule · outpatient · +27 other terms	129	$167	$201	$183	91%	—	$16 – $1.7k
7	Molina fee schedule · outpatient · +27 other terms	68	$168	$199	$114	57%	—	$1 – $380
8	Caresource fee schedule · outpatient · +17 other terms	60	$156	$157	$59	37%	—	$1 – $265
9	Kaiser fee schedule · outpatient · +18 other terms	41	$168	$248	$182	73%	—	$100 – $1.1k
10	WellCare fee schedule · outpatient · +18 other terms	41	$161	$156	$19	12%	—	$79 – $172
11	MultiPlan fee schedule · outpatient · +19 other terms	37	$457	$442	$201	45%	—	$86 – $1.4k
12	Medica fee schedule · outpatient · +20 other terms	34	$268	$294	$124	42%	—	$31 – $1.1k
13	Aetna Better Health fee schedule · outpatient · +16 other terms	29	$162	$160	$13	8%	—	$135 – $178
14	Medicare fee schedule · outpatient · +14 other terms	29	$165	$135	$51	38%	—	$24 – $165
15	Tricare facility · fee schedule · outpatient · +14 other terms	27	$168	$209	$156	75%	—	$104 – $824
16	Devoted facility · fee schedule · outpatient · +13 other terms	26	$168	$280	$323	115%	—	$32 – $2.2k
17	Ambetter fee schedule · outpatient · +17 other terms	25	$278	$228	$109	48%	—	$24 – $354
18	Medicaid fee schedule · both · +14 other terms	24	$116	$107	$86	81%	—	$16 – $249
19	Regence facility · fee schedule · both · +16 other terms	23	$168	$209	$94	45%	—	$140 – $548
20	Carefirst facility · fee schedule · both · +10 other terms	22	$168	$210	$93	44%	—	$144 – $548
21	Excellus facility · fee schedule · both · +14 other terms	22	$168	$195	$83	43%	—	$144 – $548
22	Highmark facility · fee schedule · both · +17 other terms	22	$168	$210	$93	44%	—	$144 – $548
23	Premera facility · fee schedule · both · +10 other terms	22	$168	$211	$94	45%	—	$144 – $548
24	Wellmark facility · fee schedule · both · +16 other terms	22	$168	$201	$83	41%	—	$144 – $548
25	Healthpartners fee schedule · outpatient · +8 other terms	19	$186	$186	$4	2%	—	$178 – $190

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