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Adjuvanted Four-Strain Flu Vaccine

Massachusetts rates for HCPCS 90694

A flu shot that protects against four strains of influenza and contains an added ingredient designed to produce a stronger immune response to it. It is given as an injection into the muscle of the upper arm, and this stronger-response version is generally offered to older adults, whose response to a standard flu shot is weaker. The charge covers the vaccine itself; giving the shot is billed separately.

Rates data updated July 2026.

How much does Adjuvanted Four-Strain Flu Vaccine cost?

$77.62

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $77.62 for this service. The price depends on where it is billed: about $77.62 from a physician practice, and about $81.28 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 8 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$77.62$69.18 to $89.13
FacilityA hospital or hospital-owned outpatient department$81.28$81.28 to $145

How much rates vary

Facilitymedian $81 · 10th to 90th $69 to $224Professionalmedian $78 · 10th to 90th $66 to $129
$50$100$200$500$1K$2K$5Kfacility $81professional $78

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
$69.18
Median
$69.18
Typical High
$275.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$69.18
Typical High
$114.82
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$165.96
Typical High
$223.87
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$95.50
BCBS
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$154.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$158.49
Typical High
$331.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$95.50
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$5,888.44
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$77.62
Typical High
$128.82
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$165.96
Typical High
$223.87
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$95.50
United
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$81.28
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$81.28
Typical High
$114.82

Where Massachusetts 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.

Massachusetts· 22nd of 51

$77.62

AK $100CT $69.18

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.