go back

North Carolina rates for HCPCS 90658

Influenza virus vaccine, trivalent (IIV3), split virus, 0.5 mL dosage, for intramuscular use

Facilitymedian $25 · 10th–90th $22–$540%20%10th90th$25Professionalmedian $22 · 10th–90th $16–$300%50%10th90th$22$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $24.55 / $53.70
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $21.88 / $30.20
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $16.60 / $21.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $32.36 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $21.88
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $26.30 / $32.36
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $36.31 / $40.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $23.99 / $23.99
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00