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PCV20 Pneumococcal Vaccine Injection

Wisconsin 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 $550 · 10th–90th $316$7760%10%20%10th90th$550Professionalmedian $380 · 10th–90th $282$8130%10%10th90th$380$100.0$200.0$500.0$1.0K$2.0K

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
$549.54
Typical High
$707.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$407.38
Typical High
$870.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$676.08
Typical High
$691.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$380.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$758.58
Typical High
$1,288.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$457.09
Typical High
$812.83
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$691.83
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$398.11
Typical High
$616.60
Medica
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$316.23
Typical High
$501.19
Molina
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$309.03
Typical High
$309.03
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$691.83
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
Quartz
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$691.83
Typical High
$1,023.29
Quartz
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$1,023.29
Typical High
$1,071.52
Quartz
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$549.54
Security Health
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$457.09
Typical High
$562.34
United
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$724.44
United
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$338.84
Typical High
$489.78