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PCV20 Pneumococcal Vaccine Injection

South 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.

How much does PCV20 Pneumococcal Vaccine Injection cost?

$316

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $316 for this service. The price depends on where it is billed: about $316 from a physician practice, and about $389 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$316$295 to $407
FacilityA hospital or hospital-owned outpatient department$389$316 to $447

How much rates vary

Facilitymedian $389 · 10th to 90th $240 to $550Professionalmedian $316 · 10th to 90th $288 to $457
$200.0$500.0$1.0Kfacility $389professional $316

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$416.87
Typical High
$549.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$323.59
Typical High
$467.74
Avera
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$331.13
Avera
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$398.11
Medica
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$524.81
Typical High
$851.14
Medica
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$302.00
Typical High
$316.23
Midlands
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
United
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$331.13
Typical High
$363.08
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$316.23

Where South Dakota sits

The same service costs 1.7 times more in Ohio than in Hawaii. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

South Dakota $316 · 40th of 51
OH $501HI $302

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.