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DTaP And Polio Combination Vaccine

Montana 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?

$83.18

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $83.18 for this service. The price depends on where it is billed: about $83.18 from a physician practice, and about $120 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$83.18$69.18 to $105
FacilityA hospital or hospital-owned outpatient department$120$83.18 to $66,069

How much rates vary

Facilitymedian $120 · 10th to 90th $47 to $87,096Professionalmedian $83 · 10th to 90th $65 to $126
$100$1K$10K$100Kfacility $120professional $83

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
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$100.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$83.18
Typical High
$134.90
BCBS
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$154.88
Typical High
$89,125.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$79.43
Typical High
$85.11
United
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$77.62

Where Montana 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.

Montana· 11th of 51

$83.18

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.