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PCV20 Pneumococcal Vaccine Injection

Pennsylvania 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?

$347

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $347 for this service. The price depends on where it is billed: about $347 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 12 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 $389
FacilityA hospital or hospital-owned outpatient department$355$324 to $447

How much rates vary

Facilitymedian $355 · 10th to 90th $282 to $832Professionalmedian $347 · 10th to 90th $331 to $525
$50$100$200$500$1Kfacility $355professional $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
$208.93
Median
$426.58
Typical High
$831.76
Aetna
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$338.84
Typical High
$512.86
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$33.88
Median
$33.88
Typical High
$33.88
Ambetter
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$512.86
Typical High
$630.96
AmeriHealth
Setting
Facility
Modifier
None
Typical Low
$323.59
Median
$323.59
Typical High
$371.54
AmeriHealth
Setting
Professional
Modifier
None
Typical Low
$346.74
Median
$346.74
Typical High
$371.54
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$316.23
Median
$363.08
Typical High
$426.58
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Cigna
Setting
Facility
Modifier
None
Typical Low
$354.81
Median
$588.84
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
None
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
Geisinger
Setting
Facility
Modifier
None
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Geisinger
Setting
Professional
Modifier
None
Typical Low
$512.86
Median
$512.86
Typical High
$616.60
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$316.23
Typical High
$1,380.38
Independence Blue Cross
Setting
Facility
Modifier
None
Typical Low
$309.03
Median
$309.03
Typical High
$354.81
Independence Blue Cross
Setting
Professional
Modifier
None
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$169.82
Median
$446.68
Typical High
$831.76
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$338.84
Typical High
$524.81
Martin's Point
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Martin's Point
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
Martin's Point
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
Martin's Point
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$33.88
Median
$33.88
Typical High
$33.88
Oscar Health
Setting
Facility
Modifier
None
Typical Low
$446.68
Median
$467.74
Typical High
$575.44
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$281.84
Median
$398.11
Typical High
$416.87
UPMC Health Plan
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$281.84
Typical High
$331.13
United
Setting
Facility
Modifier
None
Typical Low
$323.59
Median
$323.59
Typical High
$338.84
United
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$389.05
Typical High
$457.09

Where Pennsylvania 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.

Pennsylvania· 31st of 51

$347

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.