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Pfizer COVID-19 Vaccine Shot - Booster Dose

Wisconsin rates for HCPCS 0054A

Giving a booster dose of the Pfizer-BioNTech COVID-19 vaccine some months after the initial series, to restore protection that has faded. The appointment is short: a health check, the injection into the arm muscle, counseling, and a brief wait afterward. The vaccine itself is recorded separately from the work of giving it.

Rates data updated July 2026.

How much does Pfizer COVID-19 Vaccine Shot - Booster Dose cost?

$89.13

Typical facility fee. In Wisconsin, July 2026.

Insurers have agreed to pay about $89.13 for this service. Most negotiated rates run $89.13 to $102.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $245 · 10th to 90th $83 to $245Professionalmedian $89 · 10th to 90th $76 to $102
$100$200facility $245professional $89

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
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$102.33
Quartz
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$245.47
Typical High
$245.47
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$79.43
Typical High
$91.20

Where Wisconsin sits

The same service costs 2089.3 times more in Indiana than in South Carolina. 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.

Wisconsin· 14th of 34

$89.13

IN $63,096SC $30.20

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.