go back

BCG Vaccine Against Tuberculosis

North Carolina 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?

$182

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $182 for this service. The price depends on where it is billed: about $158 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 6 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$158$158 to $204
FacilityA hospital or hospital-owned outpatient department$204$158 to $204

How much rates vary

Facilitymedian $204 · 10th to 90th $158 to $339Professionalmedian $158 · 10th to 90th $158 to $204
$100.0$200.0$500.0facility $204professional $158

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
$112.20
Median
$204.17
Typical High
$204.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$204.17
BCBS
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$190.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$316.23
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$218.78
Medcost
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$169.82
Typical High
$269.15
United
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$371.54
Typical High
$407.38
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$218.78
Typical High
$218.78
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69

Where North Carolina 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.

North Carolina $182 · 50th 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.