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DTaP And Polio Combination Vaccine

Arizona rates for HCPCS 90696

A single injection protecting against four infections at once: diphtheria, tetanus, whooping cough, and polio. Combining them means one needle instead of separate injections for each. The charge covers the vaccine itself; giving the injection is charged separately.

Rates data updated July 2026.

How much does DTaP And Polio Combination Vaccine cost?

$97.72

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $97.72 for this service. The price depends on where it is billed: about $93.33 from a physician practice, and about $191 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 6 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$93.33$69.18 to $141
FacilityA hospital or hospital-owned outpatient department$191$95.50 to $282

How much rates vary

Facilitymedian $191 · 10th to 90th $52 to $372Professionalmedian $93 · 10th to 90th $66 to $229
$50$100$200facility $191professional $93

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
$36.31
Median
$38.02
Typical High
$165.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$95.50
Typical High
$234.42
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$53.70
Typical High
$72.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$234.42
Typical High
$426.58
BCBS
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$123.03
Typical High
$436.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$125.89
Typical High
$134.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$74.13
Typical High
$95.50
Medica
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$75.86
Typical High
$75.86
United
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$104.71
Typical High
$128.82
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$77.62
Typical High
$79.43

Where Arizona sits

The same service costs 1.7 times more in West Virginia than in Alaska. 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.

Arizona· 3rd of 51

$97.72

WV $107AK $63.10

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.