go back

Adjuvanted Four-Strain Flu Vaccine

Washington 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 Washington, 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 9 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$72.44 to $87.10
FacilityA hospital or hospital-owned outpatient department$81.28$74.13 to $126

How much rates vary

Facilitymedian $81 · 10th to 90th $60 to $162Professionalmedian $78 · 10th to 90th $69 to $100
$50$100$200facility $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
$56.23
Median
$69.18
Typical High
$112.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$75.86
Typical High
$100.00
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$117.49
Typical High
$218.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$144.54
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Molina
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$177.83
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$147.91
Typical High
$213.80
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$81.28
Typical High
$81.28
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$114.82
Typical High
$229.09
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
$81.28
Typical High
$93.33
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$100.00

Where Washington 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.

Washington· 18th 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.