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Pneumococcal Vaccine Administration

North Carolina 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 North Carolina, July 2026.

Insurers have agreed to pay about $30.90 for this service. The price depends on where it is billed: about $30.90 from a physician practice, and about $44.67 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 7 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$30.90$10.72 to $33.11
FacilityA hospital or hospital-owned outpatient department$44.67$11.75 to $57.54

How much rates vary

Facilitymedian $45 · 10th to 90th $7 to $78Professionalmedian $31 · 10th to 90th $7 to $49
$1$2$5$10$20$50$100facility $45professional $31

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
$6.92
Median
$44.67
Typical High
$77.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$30.90
Typical High
$48.98
BCBS
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$21.38
Typical High
$38.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$20.89
Medcost
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$7.41
Typical High
$11.22
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$31.62
United
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$23.99
Typical High
$53.70
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21

Where North Carolina 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.

North Carolina· 22nd 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.