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Pneumococcal Vaccine, 15 Strains

North Carolina 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 October 2026.

How much does Vaxneuvance cost?

$269

Typical negotiated rate. In North Carolina, October 2026.

Insurers have agreed to pay about $269 for this service. The price depends on where it is billed: about $269 from a physician practice, and about $302 from a hospital or other facility.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$269$245 to $288
FacilityA hospital or hospital-owned outpatient department$302$269 to $407

How much rates vary

Facilitymedian $302 · 10th to 90th $245 to $562Professionalmedian $269 · 10th to 90th $240 to $324
$200$500facility $302professional $269

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
Aetna
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$245.47
Typical High
$354.81
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$123.03
Median
$123.03
Typical High
$134.90
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$48.98
Median
$48.98
Typical High
$53.70
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$37.15
Median
$37.15
Typical High
$40.74
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$24.55
Median
$24.55
Typical High
$26.92
BCBS North Carolina
Setting
Professional
Modifier
None
Typical Low
$263.03
Median
$263.03
Typical High
$275.42
Cigna
Setting
Facility
Modifier
None
Typical Low
$302.00
Median
$338.84
Typical High
$575.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$269.15
Median
$269.15
Typical High
$288.40
Medcost
Setting
Facility
Modifier
None
Typical Low
$245.47
Median
$245.47
Typical High
$323.59
Medcost
Setting
Professional
Modifier
None
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
United
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$239.88
Typical High
$288.40

Where North Carolina sits

The same service costs 2.3 times more in Arizona 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· 42nd of 51

$269

AZ $372AL $162

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.