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Pneumococcal Vaccine, 15 Strains

Pennsylvania 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?

$288

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $288 for this service. The price depends on where it is billed: about $295 from a physician practice, and about $269 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$295$269 to $355
FacilityA hospital or hospital-owned outpatient department$269$269 to $339

How much rates vary

Facilitymedian $269 · 10th to 90th $257 to $933Professionalmedian $295 · 10th to 90th $245 to $490
$100$1K$10Kfacility $269professional $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
$269.15
Median
$269.15
Typical High
$457.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$295.12
Typical High
$489.78
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$281.84
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$933.25
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$467.74
Typical High
$467.74
Independence Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$457.09
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$288.40
Typical High
$630.96
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$288.40
Typical High
$380.19
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$288.40
United
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$288.40
Typical High
$363.08

Where Pennsylvania 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.

Pennsylvania· 18th of 51

$288

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.