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Pneumococcal Vaccine Administration

West Virginia rates for HCPCS G0009

Administration of pneumococcal vaccine

Rates data updated July 2026.

How much does Pneumococcal Vaccine Administration cost?

$43.65

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $43.65 for this service. The price depends on where it is billed: about $25.70 from a physician practice, and about $46.77 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 4 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$25.70$10.00 to $32.36
FacilityA hospital or hospital-owned outpatient department$46.77$31.62 to $70.79

How much rates vary

Facilitymedian $47 · 10th to 90th $25 to $155Professionalmedian $26 · 10th to 90th $10 to $71
$10$20$50$100$200facility $47professional $26

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
$25.12
Median
$46.77
Typical High
$154.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$29.51
Typical High
$70.79
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
$165.96
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$186.21
Typical High
$281.84
United
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
United
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$20.89
Typical High
$33.88

Where West Virginia 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.

West Virginia· 1st of 51

$43.65

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.