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Pneumococcal Vaccine, 15 Strains

Kentucky rates for HCPCS 90671

A vaccine given as a shot into the muscle that protects against fifteen strains of pneumococcus, the bacterium behind many cases of pneumonia, blood infection, and meningitis. It is a later formulation that adds coverage of additional strains beyond earlier versions of this vaccine. This covers the vaccine product itself; giving the shot is billed separately.

Rates data updated July 2026.

How much does Pneumococcal Vaccine, 15 Strains cost?

$275

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $275 for this service. The price depends on where it is billed: about $269 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 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$269$245 to $269
FacilityA hospital or hospital-owned outpatient department$275$275 to $275

How much rates vary

Facilitymedian $275 · 10th to 90th $263 to $389Professionalmedian $269 · 10th to 90th $245 to $295
$200.0$500.0$1.0Kfacility $275professional $269

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
$269.15
Median
$269.15
Typical High
$380.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$338.84
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$275.42
Typical High
$457.09
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
CareSource
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$416.87
CareSource
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$338.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$933.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$1,288.25
Typical High
$1,288.25
United
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$281.84
Typical High
$288.40

Where Kentucky sits

Rates are fairly even across states for this service. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Kentucky $275 · 27th of 51
OH $389NE $263

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.