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Pneumococcal Vaccine, 13 Strains

Idaho 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?

$288

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $288 for this service. The price depends on where it is billed: about $288 from a physician practice, and about $324 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 6 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$288$229 to $324
FacilityA hospital or hospital-owned outpatient department$324$204 to $417

How much rates vary

Facilitymedian $324 · 10th to 90th $174 to $562Professionalmedian $288 · 10th to 90th $229 to $398
$100$200$500facility $324professional $288

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
Professional
Modifier
Global
Typical Low
$229.09
Median
$288.40
Typical High
$398.11
BCBS
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$218.78
Typical High
$512.86
BCBS
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$251.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$288.40
Typical High
$691.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$331.13
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$562.34
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$288.40
Typical High
$363.08

Where Idaho 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.

Idaho· 13th of 51

$288

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.