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Pneumococcal Vaccine Administration

South Carolina rates for HCPCS G0009

Administration of pneumococcal vaccine

Rates data updated July 2026.

How much does Pneumococcal Vaccine Administration cost?

$22.39

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $22.39 for this service. The price depends on where it is billed: about $6.92 from a physician practice, and about $25.70 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$6.92$5.50 to $30.90
FacilityA hospital or hospital-owned outpatient department$25.70$21.38 to $79.43

How much rates vary

Facilitymedian $26 · 10th to 90th $5 to $148Professionalmedian $7 · 10th to 90th $5 to $42
$5$10$20$50$100$200facility $26professional $7

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
$5.50
Median
$22.39
Typical High
$54.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$6.92
Typical High
$46.77
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$24.55
Typical High
$28.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$104.71
Typical High
$165.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$5.50
Typical High
$40.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$20.89
Medcost
Setting
Facility
Modifier
Global
Typical Low
$5.50
Median
$7.41
Typical High
$28.84
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$309.03
United
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$21.38
Typical High
$32.36

Where South 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.

South Carolina· 40th of 51

$22.39

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.