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Pneumococcal Vaccine, 13 Strains

Illinois 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?

$275

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $275 for this service. The price depends on where it is billed: about $275 from a physician practice, and about $269 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 5 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$275$240 to $331
FacilityA hospital or hospital-owned outpatient department$269$229 to $372

How much rates vary

Facilitymedian $269 · 10th to 90th $83 to $1,318Professionalmedian $275 · 10th to 90th $229 to $407
$50$100$200$500$1K$2K$5Kfacility $269professional $275

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
$83.18
Median
$229.09
Typical High
$380.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$269.15
Typical High
$407.38
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$3,981.07
Typical High
$6,918.31
BCBS
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$478.63
Typical High
$602.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$338.84
Typical High
$478.63
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
United
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$316.23
Typical High
$426.58
United
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$269.15
Typical High
$309.03

Where Illinois 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.

Illinois· 19th of 51

$275

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.