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Chickenpox Vaccine

North Carolina rates for HCPCS 90716

The chickenpox vaccine, a live weakened virus vaccine given as an injection under the skin to protect against varicella infection. This covers the vaccine product itself; the visit and the act of giving the injection are billed separately.

Rates data updated October 2026.

How much does Chickenpox Vaccine cost?

$195

Typical negotiated rate. In North Carolina, October 2026.

Insurers have agreed to pay about $195 for this service. The price depends on where it is billed: about $191 from a physician practice, and about $245 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$191$162 to $214
FacilityA hospital or hospital-owned outpatient department$245$162 to $324

How much rates vary

Facilitymedian $245 · 10th to 90th $162 to $457Professionalmedian $191 · 10th to 90th $162 to $229
$100$200$500$1Kfacility $245professional $191

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Aetna
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$194.98
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$81.28
Median
$81.28
Typical High
$97.72
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$32.36
Median
$32.36
Typical High
$38.90
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$24.55
Median
$24.55
Typical High
$29.51
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$16.22
Median
$16.22
Typical High
$19.50
BCBS North Carolina
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$134.90
Typical High
$208.93
Cigna
Setting
Facility
Modifier
None
Typical Low
$245.47
Median
$275.42
Typical High
$457.09
Cigna
Setting
Professional
Modifier
None
Typical Low
$213.80
Median
$213.80
Typical High
$229.09
Medcost
Setting
Facility
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$173.78
Medcost
Setting
Professional
Modifier
None
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Oscar Health
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
United
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$190.55
Typical High
$229.09

Where North Carolina sits

The same service costs 549.5 times more in Arizona than in Rhode Island. 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.

North Carolina· 33rd of 51

$195

AZ $275RI $0.50

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.