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Flu Vaccine, Preservative-Free, 0.25 mL Dose

South Dakota rates for HCPCS 90685

A flu (influenza) vaccine covering four strains, given as a 0.25 mL injection into a muscle. This preparation is split-virus based and contains no preservative.

Rates data updated July 2026.

How much does Flu Vaccine, Preservative-Free, 0.25 mL Dose cost?

$21.88

Typical physician fee. In South Dakota, July 2026.

Insurers have agreed to pay about $21.88 for this service. Most negotiated rates run $19.50 to $25.70.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $23 · 10th to 90th $19 to $42Professionalmedian $22 · 10th to 90th $19 to $28
$20$50facility $23professional $22

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. 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
Global
Typical Low
$19.50
Median
$22.91
Typical High
$22.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$21.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$27.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$32.36
Typical High
$52.48
Medica
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$25.12
Typical High
$25.12
Midlands
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
United
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$25.12
Typical High
$26.30

Where South Dakota sits

Rates are fairly even across states for this service. 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· 14th of 51

$21.88

AK $28.18AR $19.50

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.