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Adjuvanted Four-Strain Flu Vaccine

Rhode Island 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 negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $69.18 for this service. The price depends on where it is billed: about $69.18 from a physician practice, and about $0.50 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 4 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$69.18$69.18 to $69.18
FacilityA hospital or hospital-owned outpatient department$0.50$0.50 to $74.13

How much rates vary

Facilitymedian $1 · 10th to 90th $1 to $76Professionalmedian $69 · 10th to 90th $1 to $78
$1$2$5$10$20$50$100facility $1professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.50
Median
$0.50
Typical High
$0.50
BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.50
Median
$0.50
Typical High
$0.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
United
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$81.28

Where Rhode Island 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.

Rhode Island· 39th 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.