go back

DTaP And Polio Combination Vaccine

South Dakota 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?

$75.86

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $75.86 for this service. The price depends on where it is billed: about $75.86 from a physician practice, and about $64.57 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$75.86$69.18 to $85.11
FacilityA hospital or hospital-owned outpatient department$64.57$64.57 to $74.13

How much rates vary

Facilitymedian $65 · 10th to 90th $65 to $87Professionalmedian $76 · 10th to 90th $65 to $138
$100facility $65professional $76

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
$77.62
Typical High
$77.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$75.86
Typical High
$138.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$75.86
Medica
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$95.50
Typical High
$181.97
Medica
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$70.79
Typical High
$70.79
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$70.79
Typical High
$79.43
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57

Where South Dakota 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.

South Dakota· 24th of 51

$75.86

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.