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Pneumococcal Vaccine, 13 Strains

Michigan 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 Michigan, 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 $309 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$257$229 to $316
FacilityA hospital or hospital-owned outpatient department$309$240 to $427

How much rates vary

Facilitymedian $309 · 10th to 90th $229 to $490Professionalmedian $257 · 10th to 90th $214 to $347
$200$500$1Kfacility $309professional $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
$288.40
Typical High
$457.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$257.04
Typical High
$346.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$478.63
Typical High
$977.24
BCBS
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$223.87
Typical High
$223.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$251.19
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$309.03
Typical High
$831.76
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$288.40
Typical High
$389.05
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
United
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$245.47
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$309.03
Typical High
$323.59

Where Michigan 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.

Michigan· 34th 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.