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Six-In-One Childhood Combination Vaccine

South Dakota rates for HCPCS 90697

A single injection protecting against six infections at once: diphtheria, tetanus, whooping cough, polio, hepatitis B, and Haemophilus influenzae type b, a bacterium that can cause meningitis in young children. Combining them means far fewer separate needles during early childhood immunization. The charge covers the vaccine itself; giving the injection is charged separately.

Rates data updated July 2026.

How much does Six-In-One Childhood Combination Vaccine cost?

$178

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $178 for this service. The price depends on where it is billed: about $178 from a physician practice, and about $166 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$178$158 to $191
FacilityA hospital or hospital-owned outpatient department$166$166 to $178

How much rates vary

Facilitymedian $166 · 10th to 90th $166 to $200Professionalmedian $178 · 10th to 90th $148 to $200
$200$500facility $166professional $178

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
$177.83
Median
$199.53
Typical High
$199.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$177.83
Typical High
$199.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$190.55
Medica
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$275.42
Typical High
$446.68
Medica
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$173.78
Typical High
$173.78
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$186.21
Typical High
$199.53
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$165.96

Where South Dakota sits

The same service costs 1.5 times more in Ohio than in Hawaii. 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· 28th of 51

$178

OH $257HI $166

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.