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Adjuvanted Flu Shot for Muscle Injection

North Dakota rates for HCPCS 90653

An inactivated influenza vaccine that contains an added ingredient, called an adjuvant, to prompt a stronger immune response. It is given as an injection into the muscle of the upper arm. Because the immune system responds less strongly with age, this version is often chosen for older adults.

Rates data updated October 2026.

How much does Adjuvanted Flu Shot for Muscle Injection cost?

$95.50

Typical physician fee. In North Dakota, October 2026.

Insurers have agreed to pay about $95.50 for this service. Most negotiated rates run $81.28 to $97.72.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $98 · 10th to 90th $98 to $148Professionalmedian $93 · 10th to 90th $79 to $123
$100$200facility $98professional $93

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$93.33
Median
$97.72
Typical High
$97.72
Aetna
Setting
Professional
Modifier
None
Typical Low
$97.72
Median
$97.72
Typical High
$346.74
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$83.18
Median
$112.20
Typical High
$131.83
BCBS North Dakota
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$34.67
Median
$46.77
Typical High
$54.95
BCBS North Dakota
Setting
Professional
Modifier
SL · State-supplied vaccine
Typical Low
$69.18
Median
$93.33
Typical High
$109.65
Cigna
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$125.89
Medica
Setting
Facility
Modifier
None
Typical Low
$97.72
Median
$97.72
Typical High
$295.12
Medica
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$81.28
Typical High
$87.10
United
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$93.33
Typical High
$97.72

Where North Dakota sits

The same service costs 3.1 times more in Colorado than in Alabama. 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.

North Dakota· 45th of 51

$95.50

CO $123AL $39.81

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.