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PCV20 Pneumococcal Vaccine Injection

Delaware 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 October 2026.

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

$372

Typical negotiated rate. In Delaware, October 2026.

Insurers have agreed to pay about $372 for this service. The price depends on where it is billed: about $372 from a physician practice, and about $339 from a hospital or other facility.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$372$355 to $479
FacilityA hospital or hospital-owned outpatient department$339$316 to $513

How much rates vary

Facilitymedian $339 · 10th to 90th $10 to $891Professionalmedian $372 · 10th to 90th $339 to $891
$10$20$50$100$200$500$1Kfacility $339professional $372

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$338.84
Median
$630.96
Typical High
$891.25
Aetna
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$371.54
Typical High
$758.58
Cigna
Setting
Facility
Modifier
None
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Cigna
Setting
Professional
Modifier
None
Typical Low
$354.81
Median
$354.81
Typical High
$1,621.81
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$10.47
Median
$316.23
Typical High
$512.86
United
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$389.05
Typical High
$416.87
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Highmark BCBS
Setting
Professional
Modifier
33 · Preventive service + GC · Resident with teaching physician + SA · Nurse practitioner + SE · Publicly funded program
Typical Low
$354.81
Median
$354.81
Typical High
$354.81

Where Delaware sits

The same service costs 2.9 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.

Delaware· 12th of 51

$372

AZ $468AL $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.