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Pneumococcal Vaccine Administration

Ohio rates for HCPCS G0009

Administration of pneumococcal vaccine

Rates data updated July 2026.

How much does Pneumococcal Vaccine Administration cost?

$29.51

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $29.51 for this service. The price depends on where it is billed: about $23.99 from a physician practice, and about $51.29 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 8 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$23.99$11.48 to $32.36
FacilityA hospital or hospital-owned outpatient department$51.29$27.54 to $100

How much rates vary

Facilitymedian $51 · 10th to 90th $15 to $145Professionalmedian $24 · 10th to 90th $10 to $41
$10$20$50$100$200facility $51professional $24

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
$15.14
Median
$48.98
Typical High
$144.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$16.60
Typical High
$32.36
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$28.84
Typical High
$45.71
CareSource
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$40.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$20.89
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$70.79
Typical High
$109.65
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$20.89
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$45.71
Typical High
$77.62
United
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$107.15
Typical High
$158.49
United
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$23.44
Typical High
$33.88

Where Ohio 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.

Ohio· 26th of 51

$29.51

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.