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Pneumococcal Conjugate Vaccine

Wisconsin rates for HCPCS 90669

A vaccine that protects against pneumococcus, a bacterium that causes ear infections, pneumonia, bloodstream infection and meningitis. In this conjugate form the bacterium's sugar coating is linked to a protein, which lets a young child's immune system recognize and respond to it. It is given as an injection into a muscle.

Rates data updated July 2026.

How much does Pneumococcal Conjugate Vaccine cost?

$129

Typical facility fee. In Wisconsin, July 2026.

Insurers have agreed to pay about $129 for this service. Most negotiated rates run $100 to $191.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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.

How much rates vary

Facilitymedian $148 · 10th to 90th $95 to $407Professionalmedian $112 · 10th to 90th $100 to $129
$100$200$500facility $148professional $112

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$239.88
Typical High
$407.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$112.20
Typical High
$128.82
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$147.91
Medica
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$147.91
Molina
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$147.91
Quartz
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$288.40

Where Wisconsin sits

The same service costs 4.4 times more in Texas than in Idaho. 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.

Wisconsin· 7th of 25

$129

TX $288ID $66.07

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.