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COVID-19 Vaccine Injection - Pfizer, Booster Dose

Kentucky rates for HCPCS 0004A

Covers giving a booster shot of the Pfizer-BioNTech COVID-19 vaccine some months after the initial series, to top up protection that has faded over time. It is the same short visit as the earlier shots: a health check, an injection into the upper arm muscle, counseling, and a brief observation period. The vaccine product itself is recorded separately from the work of giving it.

Rates data updated July 2026.

How much rates vary

Facilitymedian $56,234 · 10th to 90th $48,978 to $63,096Professionalmedian $43,652 · 10th to 90th $43,652 to $104,713
$50.0K$100.0Kfacility $56,234professional $43,652

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
CareSource
Setting
Facility
Modifier
Global
Typical Low
$48,977.88
Median
$56,234.13
Typical High
$63,095.73
CareSource
Setting
Professional
Modifier
Global
Typical Low
$43,651.58
Median
$43,651.58
Typical High
$104,712.85