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Pneumococcal Vaccine, 13 Strains

North Carolina 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 North Carolina, July 2026.

Insurers have agreed to pay about $302 for this service. The price depends on where it is billed: about $302 from a physician practice, and about $407 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$302$251 to $398
FacilityA hospital or hospital-owned outpatient department$407$251 to $437

How much rates vary

Facilitymedian $407 · 10th to 90th $251 to $457Professionalmedian $302 · 10th to 90th $229 to $562
$200$500facility $407professional $302

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
$251.19
Median
$407.38
Typical High
$457.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$302.00
Typical High
$562.34
BCBS
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$501.19
Typical High
$660.69
BCBS
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$239.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$380.19
Typical High
$602.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$269.15
Medcost
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$275.42
Typical High
$331.13
United
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$426.58
Typical High
$478.63
United
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$269.15
Typical High
$316.23
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83

Where North Carolina 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.

North Carolina· 7th 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.