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PCV20 Pneumococcal Vaccine Injection

Idaho 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?

$407

Typical negotiated rate. In Idaho, October 2026.

Insurers have agreed to pay about $407 for this service. The price depends on where it is billed: about $372 from a physician practice, and about $437 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$372$339 to $427
FacilityA hospital or hospital-owned outpatient department$437$398 to $537

How much rates vary

Facilitymedian $437 · 10th to 90th $339 to $708Professionalmedian $372 · 10th to 90th $316 to $550
$200$500$1Kfacility $437professional $372

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
$407.38
Median
$407.38
Typical High
$478.63
Aetna
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$354.81
Typical High
$436.52
BCBS Idaho
Setting
Facility
Modifier
None
Typical Low
$446.68
Median
$549.54
Typical High
$707.95
BCBS Idaho
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$549.54
Typical High
$549.54
Cigna
Setting
Facility
Modifier
None
Typical Low
$389.05
Median
$398.11
Typical High
$954.99
Cigna
Setting
Professional
Modifier
None
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
Moda Health
Setting
Facility
Modifier
None
Typical Low
$316.23
Median
$426.58
Typical High
$537.03
Moda Health
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$398.11
Typical High
$676.08
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$338.84
Median
$426.58
Typical High
$426.58
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$426.58
Median
$426.58
Typical High
$549.54
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$436.52
Median
$478.63
Typical High
$707.95
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
Select Health
Setting
Facility
Modifier
None
Typical Low
$338.84
Median
$338.84
Typical High
$707.95
Select Health
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$338.84
Typical High
$489.78
United
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$363.08
Typical High
$478.63

Where Idaho 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.

Idaho· 3rd of 51

$407

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.