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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 July 2026.

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

$380

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $380 for this service. The price depends on where it is billed: about $380 from a physician practice, and about $355 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 6 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$380$309 to $513
FacilityA hospital or hospital-owned outpatient department$355$316 to $562

How much rates vary

Facilitymedian $355 · 10th to 90th $282 to $891Professionalmedian $380 · 10th to 90th $282 to $646
$100$1K$10K$100Kfacility $355professional $380

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
$89.13
Median
$407.38
Typical High
$851.14
Aetna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$380.19
Typical High
$645.65
BCBS
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$64,565.42
Typical High
$89,125.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$354.81
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$316.23
Typical High
$870.96
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$316.23
Typical High
$870.96
Providence
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$338.84
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$426.58
United
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$354.81

Where Montana 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.

Montana· 12th of 51

$380

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.