go back

Pneumococcal Vaccine, 13 Strains

Ohio 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?

$355

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $355 for this service. The price depends on where it is billed: about $295 from a physician practice, and about $490 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 8 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$295$245 to $398
FacilityA hospital or hospital-owned outpatient department$490$275 to $631

How much rates vary

Facilitymedian $490 · 10th to 90th $229 to $759Professionalmedian $295 · 10th to 90th $229 to $562
$200$500$1Kfacility $490professional $295

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
$501.19
Typical High
$758.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$354.81
Typical High
$562.34
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$426.58
Typical High
$1,174.90
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$269.15
Typical High
$416.87
CareSource
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
CareSource
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$630.96
Typical High
$741.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$269.15
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$549.54
Typical High
$776.25
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$269.15
Molina
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$323.59
Typical High
$371.54
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$269.15
Typical High
$562.34
United
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$269.15
Typical High
$549.54
United
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$269.15
Typical High
$309.03

Where Ohio 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.

Ohio· 2nd of 51

$355

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.