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PCV20 Pneumococcal Vaccine Injection

California rates for HCPCS 90677 · Prevnar 20

This is an injection of a vaccine that protects against 20 different strains of the bacteria that cause pneumococcal disease, including pneumonia, meningitis, and bloodstream infections. It is given as a shot into a muscle, usually the upper arm, and is recommended for many adults and some children to lower the risk of serious pneumococcal illness. A single dose is typically enough to update protection to the newer, broader-coverage version of the vaccine.

Rates data updated July 2026.

How much does Prevnar 20 (pneumococcal 20-valent conjugate vaccine) cost?

$398

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $398 for this service. The price depends on where it is billed: about $398 from a physician practice, and about $407 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 11 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$398$316 to $550
FacilityA hospital or hospital-owned outpatient department$407$339 to $550

How much rates vary

Facilitymedian $407 · 10th to 90th $302 to $794Professionalmedian $398 · 10th to 90th $288 to $813
$100$200$500$1Kfacility $407professional $398

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
$251.19
Median
$489.78
Typical High
$954.99
Aetna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$398.11
Typical High
$812.83
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$1,445.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$398.11
Typical High
$741.31
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$363.08
Typical High
$933.25
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$302.00
Typical High
$426.58
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$524.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$660.69
Typical High
$831.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$346.74
Typical High
$707.95
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,071.52
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$426.58
Typical High
$724.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
Providence
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$446.68
Typical High
$870.96
Providence
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$338.84
Typical High
$338.84
The Alliance
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$346.74
Typical High
$537.03
United
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$331.13
Typical High
$426.58
United
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$354.81
Typical High
$741.31

Where California sits

The same service costs 1.7 times more in Ohio than in Hawaii. 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.

California· 6th of 51

$398

OH $501HI $302

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.