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PCV20 Pneumococcal Vaccine Injection

North Dakota rates for HCPCS 90677

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.

Facilitymedian $316 · 10th–90th $316$4570%50%90th$316Professionalmedian $380 · 10th–90th $282$6460%10%20%10th90th$380$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$457.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$407.38
Typical High
$645.65
BCBS
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$323.59
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$398.11
Medica
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$346.74
Typical High
$933.25
Medica
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$302.00
Typical High
$331.13
United
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$331.13
Typical High
$371.54