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PCV20 Pneumococcal Vaccine Injection

Montana 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?

$355

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $355 for this service. The price depends on where it is billed: about $347 from a physician practice, and about $427 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$347$339 to $372
FacilityA hospital or hospital-owned outpatient department$427$355 to $427

How much rates vary

Facilitymedian $427 · 10th to 90th $339 to $617Professionalmedian $347 · 10th to 90th $79 to $427
$100$200$500$1Kfacility $427professional $347

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
$891.25
Aetna
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$380.19
Typical High
$794.33
BCBS Montana
Setting
Facility
Modifier
None
Typical Low
$562.34
Median
$660.69
Typical High
$724.44
Cigna
Setting
Facility
Modifier
None
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
Cigna
Setting
Professional
Modifier
None
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$338.84
Median
$426.58
Typical High
$457.09
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$346.74
Median
$371.54
Typical High
$457.09
Providence
Setting
Facility
Modifier
None
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$354.81
Typical High
$371.54
United
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$338.84
Typical High
$363.08

Where Montana 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.

Montana· 22nd of 51

$355

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.