go back

Adjuvanted Four-Strain Flu Vaccine

Michigan 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?

$72.44

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $72.44 for this service. The price depends on where it is billed: about $72.44 from a physician practice, and about $72.44 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 5 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$72.44$69.18 to $89.13
FacilityA hospital or hospital-owned outpatient department$72.44$69.18 to $151

How much rates vary

Facilitymedian $72 · 10th to 90th $52 to $166Professionalmedian $72 · 10th to 90th $68 to $132
$50$100$200$500$1K$2Kfacility $72professional $72

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
$52.48
Median
$70.79
Typical High
$151.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$72.44
Typical High
$131.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$144.54
Typical High
$295.12
BCBS
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$67.61
Typical High
$67.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$91.20
Typical High
$208.93
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$72.44
Typical High
$102.33
United
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$74.13
Typical High
$74.13
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$93.33
Typical High
$97.72

Where Michigan 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.

Michigan· 31st of 51

$72.44

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.