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Pneumococcal Vaccine, 15 Strains

Michigan rates for HCPCS 90671 · Vaxneuvance

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 Vaxneuvance cost?

$302

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $302 for this service. The price depends on where it is billed: about $288 from a physician practice, and about $417 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$288$263 to $398
FacilityA hospital or hospital-owned outpatient department$417$282 to $562

How much rates vary

Facilitymedian $417 · 10th to 90th $269 to $589Professionalmedian $288 · 10th to 90th $245 to $490
$50$100$200$500$1Kfacility $417professional $288

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
$416.87
Typical High
$588.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$302.00
Typical High
$489.78
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$263.03
Typical High
$269.15
BCBS
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$512.86
Typical High
$1,047.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$239.88
Typical High
$239.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$288.40
Typical High
$776.25
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$380.19
United
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$257.04
Typical High
$363.08
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$288.40
Typical High
$309.03

Where Michigan sits

Rates are fairly even across states for this service. 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· 16th of 51

$302

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.