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 PERC TESTS ALLERGENIC EXTRACTS
Low
$5
Average
$542
Median
$494
High
$2.9k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
64 payers; the 90th percentile is 15.2× 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.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +37 other terms | 335 | $834 | $783 | $1.3k | 170% | 33–42 | $1 – $29.9k |
| 2 | Molina fee schedule · outpatient · +26 other terms | 122 | $989 | $788 | $577 | 73% | 17–26 | $3 – $2.0k |
| 3 | Anthem fee schedule · outpatient · +25 other terms | 96 | $532 | $539 | $1.2k | 222% | 2–20 | $4 – $6.3k |
| 4 | Humana fee schedule · outpatient · +28 other terms | 294 | $855 | $649 | $673 | 104% | 1–10 | $3 – $8.3k |
| 5 | Kaiser fee schedule · outpatient · +21 other terms | 68 | $1.0k | $1.2k | $1.3k | 111% | 1–10 | $2 – $7.3k |
| 6 | Aetna fee schedule · outpatient · +32 other terms | 377 | $962 | $1.1k | $988 | 93% | — | $1 – $8.4k |
| 7 | Blue Cross Blue Shield fee schedule · outpatient · +30 other terms | 325 | $939 | $1.7k | $1.7k | 100% | — | $1 – $7.7k |
| 8 | Cigna fee schedule · outpatient · +30 other terms | 169 | $934 | $1.0k | $968 | 95% | — | $3 – $4.6k |
| 9 | WellCare fee schedule · outpatient · +19 other terms | 124 | $997 | $1.0k | $463 | 46% | — | $3 – $2.4k |
| 10 | Ambetter facility · fee schedule · outpatient · +16 other terms | 67 | $1.5k | $1.6k | $836 | 52% | — | $5 – $7.2k |
| 11 | Devoted fee schedule · outpatient · +12 other terms | 63 | $957 | $823 | $335 | 41% | — | $4 – $1.1k |
| 12 | Optum fee schedule · outpatient · +21 other terms | 43 | $779 | $757 | $690 | 91% | — | $3 – $3.2k |
| 13 | Oscar fee schedule · outpatient · +17 other terms | 37 | $1.1k | $888 | $854 | 96% | — | $1 – $2.5k |
| 14 | MultiPlan fee schedule · outpatient · +19 other terms | 34 | $551 | $1.1k | $753 | 70% | — | $4 – $1.7k |
| 15 | Bcbs Tx fee schedule · outpatient · +3 other terms | 31 | $3.2k | $3.0k | $1.4k | 46% | — | $955 – $6.1k |
| 16 | Caresource facility · fee schedule · outpatient · +14 other terms | 30 | $1.3k | $1.4k | $1.4k | 98% | — | $6 – $8.0k |
| 17 | Regence professional · fee schedule · outpatient · +13 other terms | 27 | $4 | $6 | $3 | 50% | — | $3 – $13 |
| 18 | Clover fee schedule · outpatient · +11 other terms | 26 | $1.1k | $1.0k | $135 | 13% | — | $775 – $1.2k |
| 19 | Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms | 25 | $1.1k | $1.1k | $217 | 20% | — | $820 – $1.4k |
| 20 | Tricare fee schedule · outpatient · +13 other terms | 25 | $779 | $540 | $399 | 74% | — | $3 – $1.0k |
| 21 | Medicare fee schedule · outpatient · +15 other terms | 22 | $4 | $195 | $367 | 188% | — | $3 – $958 |
| 22 | Highmark facility · fee schedule · outpatient · +12 other terms | 21 | $979 | $645 | $971 | 151% | — | $2 – $2.9k |
| 23 | Superior Healthplan facility · fee schedule · outpatient · +3 other terms | 21 | $906 | $889 | $21 | 2% | — | $863 – $907 |
| 24 | Aetna Better Health fee schedule · outpatient · +16 other terms | 20 | $352 | $354 | $379 | 107% | — | $3 – $954 |
| 25 | Medica fee schedule · outpatient · +20 other terms | 19 | $145 | $195 | $352 | 180% | — | $3 – $1.1k |
← Hospitals reporting CPT 95004 · Snapshot 20261111T120946Z-9134e7f7