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Pneumococcal Vaccine Administration

New Jersey rates for HCPCS G0009

Administration of pneumococcal vaccine

Rates data updated July 2026.

How much does Pneumococcal Vaccine Administration cost?

$20.89

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $20.89 for this service. The price depends on where it is billed: about $15.85 from a physician practice, and about $105 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$15.85$10.00 to $33.88
FacilityA hospital or hospital-owned outpatient department$105$70.79 to $158

How much rates vary

Facilitymedian $105 · 10th to 90th $13 to $178Professionalmedian $16 · 10th to 90th $10 to $35
$10$20$50$100$200facility $105professional $16

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
$13.18
Median
$97.72
Typical High
$169.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$15.49
Typical High
$35.48
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$186.21
Typical High
$354.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$20.89
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$165.96
Typical High
$245.47
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$19.05
Typical High
$19.05
United
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$194.98
United
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$19.05
Typical High
$32.36

Where New Jersey 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.

New Jersey· 42nd of 51

$20.89

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.