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BCG Vaccine Against Tuberculosis

Iowa rates for HCPCS 90585

Supplies the BCG vaccine, a live weakened bacterium given to build protection against tuberculosis. It is placed on the skin and pressed in with a multi-pronged applicator rather than injected deep into muscle, and it leaves a small sore that scabs and heals into a permanent flat scar over several weeks. This covers the vaccine material itself; the visit and the act of giving it are billed separately.

Rates data updated July 2026.

How much does BCG Vaccine Against Tuberculosis cost?

$200

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $219 from a physician practice, and about $182 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$219$186 to $219
FacilityA hospital or hospital-owned outpatient department$182$182 to $219

How much rates vary

Facilitymedian $182 · 10th to 90th $182 to $219Professionalmedian $219 · 10th to 90th $178 to $219
$20.0$50.0$100.0$200.0$500.0facility $182professional $219

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
$186.21
Median
$218.78
Typical High
$218.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$218.78
Typical High
$218.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$190.55
Typical High
$194.98
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$23.99
Typical High
$208.93
Medica
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$213.80
Typical High
$302.00
Medica
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$199.53
Typical High
$257.04
Midlands
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$257.04
Typical High
$257.04
United
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$204.17
Typical High
$223.87
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97

Where Iowa sits

The same service costs 1.8 times more in Indiana than in Hawaii. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Iowa $200 · 16th of 51
IN $275HI $155

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.