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Pneumococcal Vaccine, 13 Strains

California rates for HCPCS 90670

A vaccine given as a shot into the muscle that protects against thirteen strains of pneumococcus, the bacterium behind many cases of pneumonia, blood infection, and meningitis. It links the bacterial coating to a carrier protein so that even young children's immune systems respond strongly and remember it. This covers the vaccine product itself; giving the shot is billed separately.

Rates data updated July 2026.

How much does Pneumococcal Vaccine, 13 Strains cost?

$302

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $302 for this service. The price depends on where it is billed: about $309 from a physician practice, and about $288 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 12 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$309$251 to $398
FacilityA hospital or hospital-owned outpatient department$288$245 to $324

How much rates vary

Facilitymedian $288 · 10th to 90th $229 to $537Professionalmedian $309 · 10th to 90th $229 to $708
$100$200$500$1Kfacility $288professional $309

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
$181.97
Median
$229.09
Typical High
$645.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$316.23
Typical High
$724.44
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$288.40
Typical High
$537.03
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$269.15
Typical High
$489.78
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$229.09
Typical High
$323.59
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$446.68
Cigna
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$501.19
Typical High
$630.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$295.12
Typical High
$794.33
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
Molina
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
Providence
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$331.13
Typical High
$630.96
Providence
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Sutter Health Plus
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
The Alliance
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$295.12
Typical High
$380.19
United
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$776.25
Typical High
$776.25
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$288.40
Typical High
$602.56

Where California sits

The same service costs 1.9 times more in Washington, DC than in Alabama. 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.

California· 9th of 51

$302

DC $447AL $229

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.