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Pneumococcal Vaccine Administration

Illinois rates for HCPCS G0009

Administration of pneumococcal vaccine

Rates data updated July 2026.

How much does Pneumococcal Vaccine Administration cost?

$30.90

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $30.90 for this service. The price depends on where it is billed: about $30.20 from a physician practice, and about $54.95 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 6 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$30.20$15.14 to $35.48
FacilityA hospital or hospital-owned outpatient department$54.95$16.60 to $64.57

How much rates vary

Facilitymedian $55 · 10th to 90th $10 to $83Professionalmedian $30 · 10th to 90th $10 to $52
$10$20$50$100$200facility $55professional $30

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
$10.00
Median
$52.48
Typical High
$75.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$30.20
Typical High
$46.77
BCBS
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$67.61
Typical High
$147.91
BCBS
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$15.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$20.89
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$50.12
Typical High
$87.10
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$42.66
Typical High
$46.77
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
United
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$112.20
Typical High
$162.18
United
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$25.12
Typical High
$35.48

Where Illinois sits

The same service costs 6.2 times more in West Virginia than in Oklahoma. 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.

Illinois· 21st of 51

$30.90

WV $43.65OK $7.08

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.