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Influenza Virus Vaccine, Split Virus (Fluzone)

Pennsylvania rates for HCPCS Q2038

Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (Fluzone)

Rates data updated July 2026.

How much does Influenza Virus Vaccine, Split Virus (Fluzone) cost?

$12.59

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $12.59 for this service. The price depends on where it is billed: about $12.59 from a physician practice, and about $12.59 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 7 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$12.59$12.59 to $12.59
FacilityA hospital or hospital-owned outpatient department$12.59$12.59 to $22.91

How much rates vary

Facilitymedian $13 · 10th to 90th $13 to $48Professionalmedian $13 · 10th to 90th $13 to $23
$10$100$1K$10Kfacility $13professional $13

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
$12.59
Median
$12.59
Typical High
$21.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$12.59
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$25.12
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$23.44
Typical High
$23.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$8.91
Typical High
$8.91
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$12.88
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$13.18
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$21.38
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$22.39
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$14.13
Typical High
$38.90
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$14.13
Typical High
$14.13
United
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$50.12
United
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$69.18

Where Pennsylvania sits

The same service costs 1122.0 times more in Delaware than in Colorado. 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· 29th of 51

$12.59

DE $56.23CO $0.05

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.