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Pneumococcal Vaccine Administration

Virginia rates for HCPCS G0009

Administration of pneumococcal vaccine

Rates data updated October 2026.

How much does Pneumococcal Vaccine Administration cost?

$25.12

Typical negotiated rate. In Virginia, October 2026.

Insurers have agreed to pay about $25.12 for this service. The price depends on where it is billed: about $25.12 from a physician practice, and about $23.99 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$25.12$15.14 to $30.90
FacilityA hospital or hospital-owned outpatient department$23.99$11.22 to $52.48

How much rates vary

Facilitymedian $24 · 10th to 90th $9 to $7,413Professionalmedian $25 · 10th to 90th $10 to $44
$10$100$1K$10Kfacility $24professional $25

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
Facility
Modifier
None
Typical Low
$10.00
Median
$10.00
Typical High
$56.23
Aetna
Setting
Professional
Modifier
None
Typical Low
$10.00
Median
$12.30
Typical High
$35.48
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$21.38
Median
$25.12
Typical High
$25.12
Cigna
Setting
Professional
Modifier
None
Typical Low
$20.89
Median
$20.89
Typical High
$20.89
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$40.74
Typical High
$50.12
Medcost
Setting
Professional
Modifier
None
Typical Low
$14.13
Median
$14.13
Typical High
$14.13
Medcost
Setting
Facility
Modifier
None
Typical Low
$12.02
Median
$12.02
Typical High
$15.14
Sentara
Setting
Facility
Modifier
None
Typical Low
$8.51
Median
$26.30
Typical High
$10,232.93
Sentara
Setting
Professional
Modifier
None
Typical Low
$8.51
Median
$28.84
Typical High
$10,232.93
United
Setting
Facility
Modifier
None
Typical Low
$89.13
Median
$97.72
Typical High
$218.78
United
Setting
Professional
Modifier
None
Typical Low
$15.14
Median
$25.12
Typical High
$33.88

Where Virginia 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.

Virginia· 23rd of 51

$25.12

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.