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BCG Vaccine Against Tuberculosis

Missouri 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?

$219

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $219 for this service. The price depends on where it is billed: about $219 from a physician practice, and about $219 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$219$186 to $229
FacilityA hospital or hospital-owned outpatient department$219$186 to $288

How much rates vary

Facilitymedian $219 · 10th to 90th $186 to $501Professionalmedian $219 · 10th to 90th $186 to $229
$200$500facility $219professional $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
$229.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$218.78
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$323.59
Typical High
$501.19
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$346.74
Typical High
$398.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Medica
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$275.42
Typical High
$741.31
Medica
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$208.93
Typical High
$213.80
United
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$295.12
Typical High
$371.54
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$208.93
Typical High
$218.78

Where Missouri 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.

Missouri· 5th of 51

$219

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.