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Pneumococcal Vaccine Administration

Michigan rates for HCPCS G0009

Administration of pneumococcal vaccine

Rates data updated July 2026.

How much does Pneumococcal Vaccine Administration cost?

$26.30

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $26.30 for this service. The price depends on where it is billed: about $23.44 from a physician practice, and about $28.84 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 5 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$23.44$10.47 to $33.11
FacilityA hospital or hospital-owned outpatient department$28.84$25.12 to $51.29

How much rates vary

Facilitymedian $29 · 10th to 90th $10 to $100Professionalmedian $23 · 10th to 90th $10 to $38
$10.0$20.0$50.0$100.0$200.0facility $29professional $23

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
$10.47
Median
$27.54
Typical High
$100.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$28.18
Typical High
$38.02
BCBS
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$50.12
Typical High
$102.33
BCBS
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$21.88
Typical High
$21.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$20.89
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$25.12
Typical High
$67.61
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$23.44
Typical High
$36.31
United
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$77.62
Typical High
$151.36
United
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$22.91
Typical High
$33.88

Where Michigan sits

The same service costs 6.2 times more in West Virginia than in Oklahoma. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Michigan $26.30 · 31st of 51
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.