Cost analysis for CPT 90694 — Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage
Average Medicare Payment
N/A
Total Payments (Latest)
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Services (Latest)
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Price Change (–)
N/A
The most expensive state pays 1.1x more than the cheapest for this procedure. AE averages $75.65 vs MN at $66.03.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| AE | $75.65 | $18.3K | 242 | 2 |
| ND | $75.43 | $1.1M | 14.8K | 117 |
| IA | $75.40 | $8.4M | 111.3K | 570 |
| NE | $75.06 | $4.1M | 54.8K | 480 |
| PA | $75.05 | $18.1M | 241.1K | 2.4K |
| SC | $75.05 | $9.9M | 132.4K | 1.1K |
| ME | $75.05 | $813.1K | 10.8K | 142 |
| SD | $75.03 | $1.7M | 22.3K | 118 |
| WV | $75.02 | $1.1M | 14.1K | 233 |
| WA | $74.96 | $8.6M | 115.3K | 1.3K |
| NC | $74.96 | $12.8M | 171.1K | 2.3K |
| VT | $74.94 | $681.9K | 9.1K | 64 |
| AL | $74.92 | $4.0M | 54.0K | 885 |
| OH | $74.91 | $13.2M | 176.4K | 2.3K |
| GA | $74.83 | $8.8M | 117.9K | 1.4K |
| VI | $74.83 | $23.0K | 307 | 7 |
| IN | $74.81 | $7.7M | 103.3K | 1.3K |
| UT | $74.80 | $2.2M | 29.4K | 530 |
| KS | $74.77 | $4.4M | 58.6K | 658 |
| NH | $74.75 | $3.1M | 41.1K | 251 |
| AR | $74.73 | $2.7M | 35.9K | 413 |
| MT | $74.68 | $1.2M | 16.3K | 159 |
| DE | $74.67 | $2.3M | 30.3K | 209 |
| VA | $74.65 | $11.9M | 159.9K | 1.5K |
| ID | $74.61 | $1.1M | 15.0K | 190 |
| FL | $74.52 | $33.6M | 450.4K | 3.5K |
| MI | $74.50 | $9.1M | 121.9K | 1.6K |
| KY | $74.48 | $3.0M | 39.7K | 605 |
| TN | $74.47 | $7.4M | 99.0K | 1.3K |
| AZ | $74.47 | $5.5M | 73.2K | 694 |
| MO | $74.45 | $6.2M | 83.6K | 939 |
| LA | $74.42 | $2.8M | 37.3K | 638 |
| OK | $74.41 | $4.1M | 55.1K | 728 |
| OR | $74.34 | $2.9M | 39.6K | 582 |
| MD | $74.20 | $9.9M | 133.5K | 1.3K |
| TX | $74.17 | $16.1M | 217.3K | 3.1K |
| HI | $74.07 | $1.5M | 20.8K | 112 |
| CA | $73.97 | $38.6M | 521.7K | 5.0K |
| CT | $73.97 | $4.6M | 61.6K | 794 |
| WI | $73.96 | $6.0M | 80.5K | 1.0K |
| NV | $73.91 | $2.0M | 26.8K | 265 |
| MA | $73.88 | $13.2M | 178.9K | 1.5K |
| IL | $73.75 | $11.8M | 160.6K | 1.8K |
| WY | $73.74 | $381.2K | 5.2K | 60 |
| NY | $73.65 | $22.3M | 302.9K | 3.1K |
| NJ | $73.58 | $12.2M | 166.3K | 1.5K |
| DC | $73.45 | $679.8K | 9.3K | 168 |
| MS | $73.24 | $2.0M | 26.9K | 317 |
| NM | $73.21 | $1.1M | 15.1K | 201 |
| PR | $71.61 | $254.4K | 3.6K | 78 |
| AK | $71.37 | $369.7K | 5.2K | 57 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Walgreen Co | Centralized Flu | CO | $7.5M | 105.9K | $70.49 |
| Vaxcare Corporation | Centralized Flu | FL | $1.0M | 13.5K | $75.71 |
| Li-Min Hu | Pediatric Medicine | CA | $695.5K | 9.2K | $75.79 |
| Dania Discount Drugs Inc | Centralized Flu | FL | $337.0K | 4.4K | $75.74 |
| Genoa Healthcare Llc | Centralized Flu | WA | $270.5K | 3.6K | $75.76 |
| Daniel Slater | Pediatric Medicine | MA | $263.8K | 3.5K | $75.81 |
| Giant Of Maryland Llc | Centralized Flu | MD | $256.5K | 3.4K | $75.80 |
| First District Health Unit | Public Health or Welfare Agency | ND | $227.4K | 3.0K | $75.76 |
| Pharmacy Relief Services, Pllc | Pharmacy | IA | $202.9K | 2.7K | $75.76 |
| Symbria Rx Services, Llc | Mass Immunizer Roster Biller | IL | $186.9K | 2.5K | $75.77 |
| M Holdings Llc | Mass Immunizer Roster Biller | SC | $178.7K | 2.4K | $75.69 |
| Avera Mckennan | Mass Immunizer Roster Biller | SD | $176.0K | 2.3K | $75.81 |
| Cost Less Senior Services Inc | Pharmacy | WA | $158.4K | 2.1K | $75.81 |
| Doyles Corner Drug Inc | Mass Immunizer Roster Biller | MA | $151.3K | 2.0K | $75.74 |
| Polaris Pharmacy Services Of Ft. Lauderdale, Llc | Pharmacy | FL | $143.4K | 1.9K | $75.79 |
| Costco Wholesale Corporation | Centralized Flu | VA | $142.3K | 1.9K | $75.72 |
| Hy-Vee Inc | Mass Immunizer Roster Biller | MN | $126.8K | 1.7K | $75.76 |
| Rajesh Iyengar | Family Practice | IL | $126.4K | 1.7K | $75.81 |
| Ddp Pharmacy, Inc | Pharmacy | NC | $124.7K | 1.6K | $75.65 |
| Jd Sigler Company | Mass Immunizer Roster Biller | KS | $121.5K | 1.6K | $75.79 |
Based on the data, CPT 90694 shows a 1.1x variation in pricing across states — relatively consistent by Medicare standards.
Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.