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PCV20 Pneumococcal Vaccine Injection

North Carolina 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?

$339

Typical negotiated rate. In North Carolina, October 2026.

Insurers have agreed to pay about $339 for this service. The price depends on where it is billed: about $331 from a physician practice, and about $398 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$331$288 to $363
FacilityA hospital or hospital-owned outpatient department$398$288 to $537

How much rates vary

Facilitymedian $398 · 10th to 90th $288 to $741Professionalmedian $331 · 10th to 90th $288 to $417
$500facility $398professional $331

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
$288.40
Median
$288.40
Typical High
$416.87
Aetna
Setting
Professional
Modifier
None
Typical Low
$288.40
Median
$288.40
Typical High
$436.52
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$144.54
Median
$144.54
Typical High
$169.82
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$57.54
Median
$57.54
Typical High
$67.61
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$43.65
Median
$43.65
Typical High
$51.29
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$28.84
Median
$28.84
Typical High
$33.88
BCBS North Carolina
Setting
Professional
Modifier
None
Typical Low
$263.03
Median
$263.03
Typical High
$331.13
Cigna
Setting
Facility
Modifier
None
Typical Low
$398.11
Median
$446.68
Typical High
$758.58
Cigna
Setting
Professional
Modifier
None
Typical Low
$331.13
Median
$354.81
Typical High
$354.81
Medcost
Setting
Facility
Modifier
None
Typical Low
$288.40
Median
$288.40
Typical High
$407.38
Medcost
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Oscar Health
Setting
Facility
Modifier
None
Typical Low
$851.14
Median
$851.14
Typical High
$851.14
United
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$316.23
Typical High
$389.05

Where North Carolina 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.

North Carolina· 34th of 51

$339

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.