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BCG Vaccine Against Tuberculosis

Kentucky 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?

$204

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $204 for this service. The price depends on where it is billed: about $186 from a physician practice, and about $204 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 5 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$186$186 to $186
FacilityA hospital or hospital-owned outpatient department$204$204 to $204

How much rates vary

Facilitymedian $204 · 10th to 90th $195 to $263Professionalmedian $186 · 10th to 90th $186 to $263
$100.0$200.0$500.0$1.0Kfacility $204professional $186

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
$186.21
Typical High
$263.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$269.15
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$204.17
Typical High
$223.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$186.21
Typical High
$186.21
CareSource
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$91.20
Typical High
$91.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$741.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$1,023.29
Typical High
$1,023.29
United
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$213.80
Typical High
$218.78

Where Kentucky 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.

Kentucky $204 · 15th 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.