PCV20 Pneumococcal Vaccine Injection

Rhode Island 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?

$316

Typical negotiated rate. In Rhode Island, October 2026.

Insurers have agreed to pay about $316 for this service. The price depends on where it is billed: about $339 from a physician practice, and about $0.50 from a hospital or other facility.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$339	$0.50 to $355
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$0.50	$0.50 to $355

How much rates vary

Facilitymedian $1 · 10th to 90th $1 to $468Professionalmedian $339 · 10th to 90th $1 to $389

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $446.68	Professional	None	$338.84	$338.84	$446.68
BCBS Rhode Island Setting Facility Modifier None Typical Low $0.50 Median $0.50 Typical High $0.50	Facility	None	$0.50	$0.50	$0.50
BCBS Rhode Island Setting Professional Modifier None Typical Low $0.50 Median $0.50 Typical High $0.50	Professional	None	$0.50	$0.50	$0.50
Cigna Setting Facility Modifier None Typical Low $354.81 Median $457.09 Typical High $676.08	Facility	None	$354.81	$457.09	$676.08
Cigna Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81	Professional	None	$354.81	$354.81	$354.81
United Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84	Facility	None	$338.84	$338.84	$338.84
United Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $389.05	Professional	None	$316.23	$316.23	$389.05

Where Rhode Island 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.

Rhode Island· 49th of 51

$316

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.