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PCV20 Pneumococcal Vaccine Injection

Nebraska 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 Nebraska, October 2026.

Insurers have agreed to pay about $339 for this service. The price depends on where it is billed: about $339 from a physician practice, and about $355 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$339$316 to $363
FacilityA hospital or hospital-owned outpatient department$355$316 to $389

How much rates vary

Facilitymedian $355 · 10th to 90th $282 to $589Professionalmedian $339 · 10th to 90th $302 to $603
$500$1Kfacility $355professional $339

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
$338.84
Median
$338.84
Typical High
$338.84
Aetna
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$457.09
Typical High
$758.58
Ambetter
Setting
Professional
Modifier
None
Typical Low
$263.03
Median
$316.23
Typical High
$524.81
BCBS Nebraska
Setting
Facility
Modifier
None
Typical Low
$288.40
Median
$354.81
Typical High
$416.87
BCBS Nebraska
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$346.74
Typical High
$354.81
Cigna
Setting
Professional
Modifier
None
Typical Low
$346.74
Median
$354.81
Typical High
$436.52
Medica
Setting
Facility
Modifier
None
Typical Low
$275.42
Median
$331.13
Typical High
$891.25
Medica
Setting
Professional
Modifier
None
Typical Low
$275.42
Median
$302.00
Typical High
$331.13
Midlands
Setting
Professional
Modifier
None
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
Oscar Health
Setting
Facility
Modifier
None
Typical Low
$831.76
Median
$831.76
Typical High
$977.24
United
Setting
Facility
Modifier
None
Typical Low
$323.59
Median
$323.59
Typical High
$331.13
United
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$331.13
Typical High
$389.05

Where Nebraska 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.

Nebraska· 39th 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.