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Pneumococcal Vaccine Administration

Montana rates for HCPCS G0009

Administration of pneumococcal vaccine

Rates data updated July 2026.

How much does Pneumococcal Vaccine Administration cost?

$36.31

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $36.31 for this service. The price depends on where it is billed: about $35.48 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$35.48$17.38 to $47.86
FacilityA hospital or hospital-owned outpatient department$54.95$53.70 to $129

How much rates vary

Facilitymedian $55 · 10th to 90th $51 to $69,183Professionalmedian $35 · 10th to 90th $10 to $66
$10$100$1K$10K$100Kfacility $55professional $35

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
$56.23
Median
$56.23
Typical High
$56.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$34.67
Typical High
$63.10
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$54.95
Typical High
$128.82
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$54.95
Typical High
$128.82
Providence
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
Providence
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$67.61
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$40.74

Where Montana 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.

Montana· 3rd of 51

$36.31

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.