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Flu Vaccine, Into The Skin, Preservative-Free

Nationwide rates for HCPCS 90654

A seasonal influenza vaccination given with a very short needle into the skin of the upper arm rather than deep into the muscle. It is prepared without added preservative. Protection builds over about two weeks and lasts through the flu season.

Rates data updated October 2026.

How much does Flu Vaccine, Into The Skin, Preservative-Free cost?

$21.88

Typical negotiated rate. Nationwide, October 2026.

Insurers have agreed to pay about $21.88 for this service. The price depends on where it is billed: about $19.05 from a physician practice, and about $41.69 from a hospital or other facility.

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 19 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$19.05$17.38 to $21.88
FacilityA hospital or hospital-owned outpatient department$41.69$19.95 to $74.13

How much rates vary

Facilitymedian $42 · 10th to 90th $19 to $112Professionalmedian $19 · 10th to 90th $17 to $24
$20$50$100facility $42professional $19

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

Rates by insurance carrier

Insurance Carrier
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$19.50
Median
$38.02
Typical High
$64.57
Asuris Northwest Health
Setting
Facility
Modifier
None
Typical Low
$19.95
Median
$19.95
Typical High
$39.81
AvMed
Setting
Facility
Modifier
None
Typical Low
$16.98
Median
$16.98
Typical High
$16.98
AvMed
Setting
Professional
Modifier
None
Typical Low
$16.98
Median
$16.98
Typical High
$16.98
BCBS Arizona
Setting
Facility
Modifier
None
Typical Low
$18.20
Median
$79.43
Typical High
$117.49
BCBS Minnesota
Setting
Facility
Modifier
None
Typical Low
$16.22
Median
$28.18
Typical High
$28.18
CareSource
Setting
Facility
Modifier
None
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
CareSource
Setting
Professional
Modifier
None
Typical Low
$27.54
Median
$31.62
Typical High
$41.69
Cigna
Setting
Facility
Modifier
None
Typical Low
$22.39
Median
$45.71
Typical High
$58.88
Cigna
Setting
Professional
Modifier
None
Typical Low
$17.38
Median
$19.50
Typical High
$21.88
Geisinger
Setting
Facility
Modifier
None
Typical Low
$18.20
Median
$18.20
Typical High
$18.62
Geisinger
Setting
Professional
Modifier
None
Typical Low
$18.20
Median
$18.20
Typical High
$18.20
Health Partners
Setting
Facility
Modifier
None
Typical Low
$17.78
Median
$42.66
Typical High
$64.57
Health Partners
Setting
Professional
Modifier
None
Typical Low
$17.38
Median
$17.38
Typical High
$17.38
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$5,888.44
Median
$5,888.44
Typical High
$6,456.54
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$19.05
Median
$19.05
Typical High
$19.05
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$47.86
Typical High
$81.28
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$15.14
Median
$15.14
Typical High
$15.14
Medcost
Setting
Professional
Modifier
None
Typical Low
$20.42
Median
$20.42
Typical High
$21.88
Medica
Setting
Facility
Modifier
None
Typical Low
$79.43
Median
$194.98
Typical High
$194.98
Medica
Setting
Professional
Modifier
None
Typical Low
$21.88
Median
$24.55
Typical High
$30.90
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$19.05
Median
$19.05
Typical High
$26.30
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$19.05
Median
$19.05
Typical High
$19.95
Pacific Source
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$19.05
Median
$19.50
Typical High
$21.88
UPMC Health Plan
Setting
Professional
Modifier
None
Typical Low
$19.05
Median
$19.05
Typical High
$21.88
United
Setting
Professional
Modifier
None
Typical Low
$18.62
Median
$23.99
Typical High
$37.15
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$19.05
Median
$19.05
Typical High
$19.05

What it costs in each state

The same service costs 12.9 times more in Missouri than in New York. 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.

Touch or drag across the chart to see any state's rate.

MO $195NY $15.14

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.