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Nine-Strain HPV Vaccine

South Dakota rates for HCPCS 90651

A vaccine against nine types of human papillomavirus, given as an injection into a muscle. It protects against the virus types responsible for most cervical and other genital cancers as well as most genital warts, and is given as a course of two or three doses depending on age at the first dose.

Rates data updated July 2026.

How much does Nine-Strain HPV Vaccine cost?

$324

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $324 for this service. The price depends on where it is billed: about $324 from a physician practice, and about $347 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$324$288 to $363
FacilityA hospital or hospital-owned outpatient department$347$331 to $398

How much rates vary

Facilitymedian $347 · 10th to 90th $331 to $617Professionalmedian $324 · 10th to 90th $263 to $407
$200$500facility $347professional $324

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$398.11
Typical High
$616.60
Aetna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$316.23
Typical High
$407.38
Avera
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$363.08
Medica
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$446.68
Typical High
$851.14
Medica
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$338.84
Typical High
$338.84
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$363.08
Typical High
$398.11
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13

Where South Dakota sits

The same service costs 5.2 times more in West Virginia than in Oklahoma. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

South Dakota· 44th of 51

$324

WV $447OK $85.11

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.