go back

Pneumococcal Vaccine, 15 Strains

Wisconsin 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.

Facilitymedian $537 · 10th–90th $269$8130%20%10th90th$537Professionalmedian $331 · 10th–90th $245$9120%10%20%10th90th$331$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$537.03
Typical High
$812.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$371.54
Typical High
$933.25
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$575.44
Typical High
$602.56
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$331.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$660.69
Typical High
$1,122.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$407.38
Typical High
$501.19
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$575.44
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Medica
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$575.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$275.42
Typical High
$416.87
Molina
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$269.15
Typical High
$269.15
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$575.44
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Quartz
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$616.60
Typical High
$851.14
Quartz
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$812.83
Typical High
$870.96
Quartz
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$478.63
Security Health
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$269.15
Typical High
$630.96
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$269.15
Typical High
$398.11