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Pneumococcal Vaccine Administration

Kentucky rates for HCPCS G0009

Administration of pneumococcal vaccine

Rates data updated July 2026.

How much does Pneumococcal Vaccine Administration cost?

$25.12

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $25.12 for this service. The price depends on where it is billed: about $29.51 from a physician practice, and about $21.38 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$29.51$10.23 to $37.15
FacilityA hospital or hospital-owned outpatient department$21.38$15.14 to $61.66

How much rates vary

Facilitymedian $21 · 10th to 90th $10 to $95Professionalmedian $30 · 10th to 90th $10 to $63
$5$10$20$50$100facility $21professional $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
$21.38
Typical High
$95.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$34.67
Typical High
$63.10
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$25.12
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$19.95
Typical High
$19.95
CareSource
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$41.69
Typical High
$46.77
CareSource
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$34.67
Typical High
$37.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$165.96
Typical High
$165.96
United
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$19.50
Typical High
$27.54

Where Kentucky 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.

Kentucky· 32nd of 51

$25.12

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.