COVID-19 mRNA vaccine, 25 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

COVID VAC 2025-26 (6MO-11YR)(MODERNA) (PF) 25 MCG/0.25 ML IM SYRINGE

Payers reporting CPT 91321

Payer pricing summary

Low

$76

Average

$210

Median

$182

High

$959

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +29 other terms	566	$243	$235	$123	52%	—	$0 – $870
2	Cigna fee schedule · outpatient · +25 other terms	278	$217	$370	$280	76%	—	$0 – $1.2k
3	Blue Cross Blue Shield fee schedule · outpatient · +26 other terms	215	$261	$370	$231	62%	—	$0 – $1.3k
4	Humana fee schedule · outpatient · +24 other terms	200	$143	$163	$87	53%	—	$0 – $553
5	Aetna fee schedule · outpatient · +24 other terms	154	$147	$382	$899	235%	—	$0 – $8.4k
6	Anthem fee schedule · outpatient · +23 other terms	98	$147	$165	$71	43%	—	$16 – $680
7	Molina fee schedule · outpatient · +24 other terms	65	$147	$188	$114	60%	—	$16 – $365
8	Caresource fee schedule · outpatient · +16 other terms	55	$150	$161	$44	27%	—	$15 – $250
9	WellCare fee schedule · outpatient · +19 other terms	33	$147	$147	$13	9%	—	$71 – $156
10	Kaiser fee schedule · outpatient · +16 other terms	31	$147	$177	$74	42%	—	$144 – $384
11	Ambetter fee schedule · outpatient · +17 other terms	26	$224	$203	$110	54%	—	$27 – $394
12	Medicare fee schedule · outpatient · +13 other terms	24	$144	$116	$48	41%	—	$27 – $144
13	Aetna Better Health fee schedule · outpatient · +12 other terms	23	$150	$156	$12	8%	—	$147 – $181
14	Optum professional · fee schedule · outpatient · +17 other terms	22	$145	$145	$1	1%	—	$144 – $150
15	Devoted fee schedule · outpatient · +13 other terms	21	$147	$146	$2	1%	—	$144 – $153
16	Medcost facility · percent of total billed charges · bothfrom % of charges · +7 other terms	21	$137	$212	$199	94%	—	$87 – $946
17	Medica professional · fee schedule · outpatient · +17 other terms	21	$145	$141	$26	18%	—	$22 – $196
18	Tricare fee schedule · both · +14 other terms	21	$146	$143	$4	3%	—	$139 – $147
19	Wellmark fee schedule · outpatient · +16 other terms	20	$147	$147	—	—	—	$147 – $147
20	Healthpartners fee schedule · outpatient · +12 other terms	19	$176	$175	$4	2%	—	$168 – $179
21	Highmark facility · fee schedule · outpatient · +15 other terms	19	$149	$425	$497	117%	—	$42 – $2.1k
22	Bcbs Tx fee schedule · outpatient	18	$470	$483	$150	31%	—	$250 – $775
23	Amerihealth Caritas facility · fee schedule · outpatient · +12 other terms	17	$51	$59	$35	58%	—	$23 – $170
24	Cigna Healthspring fee schedule · outpatient · +5 other terms	17	$154	$152	$3	2%	—	$147 – $154
25	Ucare professional · fee schedule · outpatient · +14 other terms	17	$145	$145	$1	0%	—	$144 – $147

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