Based on public Medicaid payment data.
Average Medicaid Vaccines & Immunizations Payments
Typical Medicaid Vaccines & Immunizations reimbursement across 10,286 cities
Avg. Medicaid Paid
$10.51
Price Range
$0.00 – $896.92
Total Claims
297.2M
Cities
10286
Typical Payment Range
Typical Medicaid Vaccines & Immunizations payments fall between $6.71 and $17.15 per claim (median: $11.70). The top 10% of payments exceed $23.30.
Based on per-provider averages across all Medicaid claims in this category.
About This Procedure
Preventive vaccines and immunizations protect against infectious diseases. Includes childhood vaccines, flu shots, and adult immunizations.
Why do these costs look low?
These figures represent Medicaid reimbursement rates — the amounts that state Medicaid programs actually paid providers. Medicaid typically reimburses significantly less than private insurance or out-of-pocket prices. If you have private insurance or are paying cash, expect higher costs. See the cost components below for per-code averages.
Costs by City
| City | Avg. Paid | Min / Max | Claims | Providers |
|---|---|---|---|---|
| Clarksdale, MS | $4.91 | $0.00 – $12.74 | 74,715 | 27 |
| Pittsfield, MA | $17.55 | $0.00 – $38.24 | 74,734 | 42 |
| Palestine, TX | $6.15 | $0.00 – $43.37 | 74,737 | 19 |
| Prospect Park, NJ | $12.85 | $11.71 – $12.88 | 74,760 | 2 |
| Winchester, VA | $12.82 | $0.00 – $50.60 | 74,821 | 51 |
| Manteca, CA | $8.13 | $0.00 – $36.62 | 74,947 | 33 |
| Morehead City, NC | $17.30 | $0.00 – $22.88 | 75,063 | 30 |
| Boone, NC | $14.39 | $1.08 – $20.17 | 75,114 | 14 |
| Peekskill, NY | $14.91 | $0.00 – $20.78 | 75,346 | 20 |
| Cape Coral, FL | $11.01 | $0.00 – $129.54 | 75,519 | 39 |
| Plainfield, NJ | $14.62 | $0.00 – $21.90 | 75,769 | 19 |
| Franklin, TN | $15.37 | $0.00 – $31.13 | 76,002 | 30 |
| Largo, MD | $28.60 | $8.31 – $45.28 | 76,047 | 26 |
| Bend, OR | $15.09 | $0.00 – $115.43 | 76,074 | 149 |
| Washington, NC | $14.00 | $0.80 – $25.45 | 76,100 | 11 |
| Hyattsville, MD | $27.82 | $0.00 – $51.31 | 76,118 | 35 |
| Westerville, OH | $10.27 | $0.00 – $62.98 | 76,149 | 76 |
| Richmond, KY | $21.72 | $7.24 – $39.05 | 76,156 | 35 |
| Alcoa, TN | $21.28 | $1.73 – $39.86 | 76,194 | 36 |
| Rialto, CA | $3.90 | $0.00 – $21.51 | 76,277 | 26 |
| Meriden, CT | $5.80 | $0.00 – $22.93 | 76,358 | 49 |
| Matthews, NC | $19.58 | $4.08 – $38.25 | 76,437 | 43 |
| Morehead, KY | $5.48 | $0.00 – $31.43 | 76,484 | 19 |
| Marietta, GA | $17.33 | $0.00 – $39.14 | 76,494 | 30 |
| Athens, OH | $11.14 | $2.97 – $21.48 | 76,548 | 36 |
| Middletown, CT | $10.74 | $0.00 – $29.54 | 76,633 | 76 |
| Culpeper, VA | $9.93 | $0.39 – $43.79 | 76,755 | 31 |
| Clayton, NC | $19.19 | $6.39 – $41.13 | 76,862 | 47 |
| Fort Walton Beach, FL | $5.13 | $0.16 – $23.31 | 76,873 | 15 |
| Falmouth, ME | $6.80 | $6.75 – $19.73 | 77,070 | 5 |
| Hampton, VA | $10.78 | $0.00 – $19.34 | 77,156 | 71 |
| Norton Shores, MI | $6.33 | $6.32 – $13.13 | 77,235 | 4 |
| Marquette, MI | $9.76 | $4.78 – $15.68 | 77,335 | 15 |
| Red Bluff, CA | $3.60 | $0.00 – $32.64 | 77,433 | 27 |
| Marysville, CA | $2.70 | $0.00 – $30.51 | 77,508 | 17 |
| Ashland, KY | $20.67 | $0.94 – $41.80 | 77,528 | 55 |
| Simi Valley, CA | $11.91 | $0.00 – $27.49 | 77,689 | 25 |
| San German, PR | $6.57 | $0.00 – $28.86 | 77,821 | 6 |
| Hendersonville, TN | $20.63 | $0.00 – $29.80 | 77,825 | 27 |
| Frederick, MD | $18.07 | $0.00 – $40.83 | 77,852 | 80 |
| Carbondale, IL | $0.13 | $0.00 – $24.46 | 77,901 | 13 |
| Midlothian, VA | $9.53 | $0.33 – $27.32 | 77,932 | 68 |
| New Hartford, NY | $8.94 | $5.00 – $41.71 | 77,974 | 57 |
| Jeffersonville, IN | $8.65 | $0.00 – $18.27 | 78,106 | 33 |
| Hutchinson, KS | $9.50 | $0.00 – $20.19 | 78,227 | 14 |
| Biloxi, MS | $9.28 | $0.00 – $21.28 | 78,316 | 22 |
| Norcross, GA | $17.13 | $4.21 – $26.62 | 78,342 | 6 |
| Midland, TX | $4.86 | $0.00 – $23.23 | 78,352 | 23 |
| Vero Beach, FL | $7.38 | $0.00 – $33.86 | 78,478 | 45 |
| Paramount, CA | $6.48 | $0.00 – $33.62 | 78,676 | 29 |
Cost Components
National averages for each billing code in this procedure category. Sorted by claim volume.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 90460 | Immunization admin thru 18 | $19.20 | 68,551,665 | 43,815 |
| 90471 | Immunization admin 1st inj | $9.66 | 57,130,368 | 98,445 |
| 90686 | Flu vaccine IIV4 pf 3+ | $5.45 | 39,418,111 | 97,965 |
| 90472 | Immunization admin each addl | $12.92 | 20,815,186 | 28,106 |
| 90670 | PCV13 pneumococcal vaccine | $6.38 | 19,269,963 | 34,047 |
| 90461 | Immunization admin addl comp | $8.83 | 16,859,567 | 21,627 |
| 90633 | Hepatitis A vaccine ped 2-dose | $3.37 | 9,767,245 | 26,524 |
| 90680 | Rotavirus vaccine 3-dose | $3.46 | 7,993,355 | 19,524 |
| 90723 | DTaP-HepB-IPV vaccine | $3.92 | 7,098,290 | 16,826 |
| 90715 | Tdap vaccine | $11.85 | 6,717,093 | 22,225 |
| 90651 | HPV vaccine 9-valent | $15.95 | 6,526,878 | 22,658 |
| 90648 | Hib vaccine 4-dose | $3.83 | 6,018,911 | 13,271 |
| 90698 | DTaP-IPV/Hib vaccine | $4.60 | 5,666,589 | 14,010 |
| 90734 | Meningococcal vaccine MCV4 | $6.16 | 4,232,186 | 19,287 |
| 90647 | Hib vaccine 3-dose | $2.36 | 4,009,651 | 9,899 |
| 90688 | Flu vaccine IIV4 3 yrs+ | $6.95 | 3,844,650 | 22,235 |
| 90716 | Varicella vaccine | $7.15 | 3,626,719 | 12,830 |
| 90707 | MMR vaccine | $5.40 | 3,456,536 | 12,527 |
| 90700 | DTaP vaccine | $3.40 | 3,091,238 | 9,829 |
| 90656 | Influenza vaccine 3+ pf | $5.83 | 2,918,961 | 30,479 |
| 90744 | HepB vaccine ped 3-dose | $3.49 | 2,870,013 | 10,205 |
| 90710 | MMRV vaccine | $4.77 | 2,595,476 | 11,273 |
| 90674 | Influenza vaccine ccIIV4 pf | $12.97 | 2,068,360 | 15,688 |
| 90681 | Rotavirus vaccine 2-dose | $3.80 | 2,035,812 | 7,164 |
| 90474 | Immunization admin addl intrn | $7.86 | 1,972,978 | 6,114 |
| 90696 | DTaP-IPV vaccine | $3.68 | 1,737,945 | 9,616 |
| 90713 | IPV vaccine | $4.24 | 1,284,417 | 3,821 |
| 90658 | Influenza vaccine 3 yrs+ | $5.70 | 1,068,634 | 5,968 |
| 90685 | Flu vaccine IIV4 pf 6-35mo | $3.69 | 976,735 | 9,467 |
| 90473 | Immunization admin oral/nasal | $7.96 | 626,154 | 2,775 |
| 90649 | HPV vaccine 4-valent 3-dose | $7.39 | 517,956 | 2,452 |
| 90672 | Influenza vaccine LAIV4 nasal | $3.58 | 487,623 | 3,404 |
| 90750 | Zoster vaccine recombinant | $77.62 | 400,713 | 1,816 |
| 90746 | HepB vaccine adult | $40.42 | 385,011 | 1,527 |
| 90732 | PPSV23 pneumococcal vaccine | $44.97 | 235,648 | 1,520 |
| 90714 | Td vaccine preservative free | $12.49 | 218,801 | 628 |
| 90632 | Hepatitis A vaccine adult | $35.26 | 143,816 | 794 |
| 90687 | Flu vaccine IIV4 6-35 months | $3.74 | 141,649 | 1,469 |
| 90657 | Influenza vaccine 6-35 months | $2.60 | 136,684 | 857 |
| 90660 | Influenza vaccine live nasal | $4.09 | 93,337 | 1,123 |
| 90653 | Influenza vaccine adjuvanted | $10.72 | 83,986 | 1,301 |
| 90733 | Meningococcal vaccine MPSV4 | $12.70 | 56,310 | 285 |
| 90636 | Hepatitis A & B vaccine adult | $61.18 | 28,289 | 142 |
| 90630 | Influenza vaccine IIV-HD | $6.56 | 17,349 | 198 |
| 90747 | HepB vaccine dialysis | $32.69 | 12,100 | 147 |
| 90740 | HepB vaccine dialysis ped | $30.98 | 11,585 | 115 |
| 90743 | HepB vaccine adolescent 2-dose | $8.62 | 7,901 | 70 |
| 90654 | Influenza vaccine preserv free | $5.46 | 7,872 | 74 |
| 90736 | Zoster vaccine live | $90.00 | 6,897 | 71 |
These averages group common billing codes used when providers bill Medicaid for this procedure. Individual costs will vary.