go back

Pneumococcal Vaccine, 13 Strains

New York 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?

$245

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $245 for this service. The price depends on where it is billed: about $251 from a physician practice, and about $240 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$251$229 to $331
FacilityA hospital or hospital-owned outpatient department$240$229 to $550

How much rates vary

Facilitymedian $240 · 10th to 90th $209 to $676Professionalmedian $251 · 10th to 90th $229 to $676
$100$200$500$1K$2Kfacility $240professional $251

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
$204.17
Median
$275.42
Typical High
$1,071.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$257.04
Typical High
$812.83
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$234.42
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$380.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$1,230.27
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$316.23
Typical High
$870.96
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$295.12
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$257.04
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$331.13
United
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$257.04
Typical High
$426.58
United
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$269.15
Typical High
$426.58
Univera
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$251.19
Univera
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$239.88
Typical High
$288.40

Where New York 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.

New York· 41st of 51

$245

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.