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DTaP And Polio Combination Vaccine

Missouri 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?

$77.62

Typical negotiated rate. In Missouri, 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 $93.33 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$77.62$69.18 to $87.10
FacilityA hospital or hospital-owned outpatient department$93.33$77.62 to $100

How much rates vary

Facilitymedian $93 · 10th to 90th $69 to $170Professionalmedian $78 · 10th to 90th $51 to $107
$20$50$100$200$500facility $93professional $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
$69.18
Median
$93.33
Typical High
$134.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$74.13
Typical High
$141.25
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$52.48
Typical High
$61.66
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$109.65
Typical High
$169.82
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$117.49
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
$79.43
Typical High
$275.42
Medica
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$75.86
Typical High
$77.62
United
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$104.71
Typical High
$128.82
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$75.86
Typical High
$79.43

Where Missouri 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.

Missouri· 19th of 51

$77.62

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.