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Pneumococcal Vaccine, 13 Strains

Massachusetts 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?

$257

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $257 for this service. The price depends on where it is billed: about $257 from a physician practice, and about $275 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 9 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$257$229 to $295
FacilityA hospital or hospital-owned outpatient department$275$269 to $398

How much rates vary

Facilitymedian $275 · 10th to 90th $229 to $776Professionalmedian $257 · 10th to 90th $219 to $427
$200$500$1K$2K$5Kfacility $275professional $257

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
$229.09
Median
$229.09
Typical High
$851.14
Aetna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$457.09
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$645.65
Typical High
$851.14
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$316.23
BCBS
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$537.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$537.03
Typical High
$1,096.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$316.23
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$5,888.44
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$257.04
Typical High
$426.58
Health New England
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$1,621.81
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$645.65
Typical High
$851.14
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$316.23
United
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$257.04
Typical High
$549.54
United
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$269.15
Typical High
$389.05

Where Massachusetts 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.

Massachusetts· 33rd of 51

$257

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.