go back

Adjuvanted Four-Strain Flu Vaccine

North Dakota 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?

$69.18

Typical physician fee. In North Dakota, July 2026.

Insurers have agreed to pay about $69.18 for this service. Most negotiated rates run $69.18 to $75.86.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $69 · 10th to 90th $69 to $69Professionalmedian $69 · 10th to 90th $69 to $79
$100$200facility $69professional $69

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
$69.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$77.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$97.72
Medica
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$208.93
Medica
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$85.11
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$83.18
Typical High
$100.00

Where North 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.

North Dakota· 43rd of 51

$69.18

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.