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Pneumococcal Vaccine Administration

Montana rates for HCPCS G0009

Administration of pneumococcal vaccine

Rates data updated October 2026.

How much does Pneumococcal Vaccine Administration cost?

$43.65

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $43.65 for this service. The price depends on where it is billed: about $42.66 from a physician practice, and about $51.29 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$42.66$30.20 to $69.18
FacilityA hospital or hospital-owned outpatient department$51.29$39.81 to $60.26

How much rates vary

Facilitymedian $51 · 10th to 90th $35 to $65Professionalmedian $43 · 10th to 90th $14 to $69
$10$20$50facility $51professional $43

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$9.55
Median
$13.80
Typical High
$38.02
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
Cigna
Setting
Facility
Modifier
None
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$34.67
Median
$46.77
Typical High
$64.57
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$34.67
Median
$38.02
Typical High
$63.10
Providence
Setting
Facility
Modifier
None
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
Providence
Setting
Professional
Modifier
None
Typical Low
$28.18
Median
$42.66
Typical High
$79.43
United
Setting
Professional
Modifier
None
Typical Low
$14.45
Median
$14.45
Typical High
$40.74

Where Montana sits

The same service costs 6.6 times more in Alabama than in Kansas. 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· 6th of 51

$43.65

AL $56.23KS $8.51

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.