CPT 95170
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
CH PS PREPJ& ANTIGEN ALLRGN IMMUNOTHERAPY WHL INSE
Low
$3
Average
$67
Median
$46
High
$906
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna fee schedule · outpatient · +22 other terms | 367 | $49 | $146 | $715 | 491% | — | $3 – $8.4k |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +19 other terms | 302 | $75 | $94 | $67 | 71% | — | $1 – $403 |
| 3 | UnitedHealthcare fee schedule · outpatient · +25 other terms | 299 | $48 | $69 | $85 | 123% | — | $1 – $1.4k |
| 4 | Humana fee schedule · outpatient · +20 other terms | 279 | $46 | $93 | $549 | 593% | — | $2 – $8.3k |
| 5 | Cigna fee schedule · outpatient · +18 other terms | 152 | $48 | $60 | $47 | 79% | — | $3 – $242 |
| 6 | Molina fee schedule · outpatient · +18 other terms | 121 | $48 | $49 | $28 | 57% | — | $3 – $127 |
| 7 | WellCare fee schedule · outpatient · +12 other terms | 117 | $46 | $51 | $20 | 40% | — | $3 – $108 |
| 8 | Anthem fee schedule · outpatient · +12 other terms | 94 | $43 | $44 | $68 | 154% | — | $3 – $343 |
| 9 | Devoted fee schedule · outpatient · +9 other terms | 68 | $47 | $43 | $14 | 33% | — | $3 – $52 |
| 10 | Kaiser fee schedule · outpatient · +10 other terms | 64 | $73 | $88 | $86 | 98% | — | $3 – $523 |
| 11 | Ambetter facility · fee schedule · outpatient · +10 other terms | 53 | $80 | $210 | $948 | 451% | — | $16 – $7.0k |
| 12 | Optum fee schedule · outpatient · +12 other terms | 44 | $42 | $54 | $60 | 111% | — | $3 – $266 |
| 13 | Oscar fee schedule · outpatient · +14 other terms | 40 | $81 | $58 | $43 | 74% | — | $1 – $134 |
| 14 | Bcbs Tx fee schedule · outpatient · +2 other terms | 31 | $134 | $127 | $57 | 45% | — | $43 – $256 |
| 15 | Caresource facility · fee schedule · outpatient · +8 other terms | 28 | $72 | $414 | $1.5k | 371% | — | $3 – $7.9k |
| 16 | Clover fee schedule · outpatient · +8 other terms | 26 | $50 | $49 | $3 | 7% | — | $42 – $54 |
| 17 | Tricare fee schedule · outpatient · +10 other terms | 22 | $42 | $43 | $3 | 7% | — | $41 – $56 |
| 18 | Regence professional · fee schedule · outpatient · +8 other terms | 21 | $7 | $7 | $5 | 69% | — | $3 – $28 |
| 19 | MultiPlan fee schedule · outpatient · +13 other terms | 20 | $76 | $65 | $24 | 38% | — | $8 – $76 |
| 20 | Medicare fee schedule · outpatient · +8 other terms | 19 | $3 | $5 | $8 | 162% | — | $3 – $41 |
| 21 | Aetna Better Health fee schedule · outpatient · +7 other terms | 18 | $7 | $15 | $17 | 114% | — | $3 – $43 |
| 22 | Cigna Healthspring fee schedule · outpatient · +5 other terms | 17 | $46 | $33 | $20 | 59% | — | $3 – $48 |
| 23 | Highmark fee schedule · outpatient · +6 other terms | 16 | $38 | $38 | $33 | 88% | — | $3 – $137 |
| 24 | Medical Mutual facility · fee schedule · outpatient · +3 other terms | 16 | $46 | $337 | $1.3k | 373% | — | $24 – $6.0k |
| 25 | Ucare case rate · outpatient · +5 other terms | 15 | $48 | $48 | $1 | 2% | — | $46 – $48 |
← Hospitals reporting CPT 95170 · Snapshot 20261113T090226Z-3ce6c0b8