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DTaP And Polio Combination Vaccine

Pennsylvania 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?

$81.28

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $81.28 for this service. The price depends on where it is billed: about $83.18 from a physician practice, and about $69.18 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$83.18$69.18 to $112
FacilityA hospital or hospital-owned outpatient department$69.18$60.26 to $87.10

How much rates vary

Facilitymedian $69 · 10th to 90th $59 to $263Professionalmedian $83 · 10th to 90th $58 to $135
$20$100$500$2Kfacility $69professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$69.18
Typical High
$125.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$83.18
Typical High
$141.25
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$79.43
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$251.19
Typical High
$269.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$426.58
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$69.18
Typical High
$263.03
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$79.43
Typical High
$141.25
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$77.62
Typical High
$123.03
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$79.43
Typical High
$97.72

Where Pennsylvania 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.

Pennsylvania· 14th of 51

$81.28

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.