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BCG Vaccine Against Tuberculosis

Massachusetts 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?

$186

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $186 for this service. The price depends on where it is billed: about $182 from a physician practice, and about $229 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 8 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$182$141 to $209
FacilityA hospital or hospital-owned outpatient department$229$229 to $324

How much rates vary

Facilitymedian $229 · 10th to 90th $186 to $490Professionalmedian $182 · 10th to 90th $120 to $257
$200$500$1K$2K$5Kfacility $229professional $182

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
$186.21
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$269.15
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$323.59
Typical High
$426.58
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$181.97
Typical High
$223.87
BCBS
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$446.68
Cigna
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$446.68
Typical High
$912.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$234.42
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$5,888.44
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$141.25
Typical High
$234.42
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$323.59
Typical High
$426.58
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$181.97
Typical High
$223.87
United
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$489.78
Typical High
$489.78
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$204.17
Typical High
$257.04

Where Massachusetts sits

The same service costs 1.8 times more in Indiana than in Hawaii. 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.

Massachusetts· 22nd of 51

$186

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.