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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 October 2026.

How much does BCG Vaccine Against Tuberculosis cost?

$200

Typical negotiated rate. In North Carolina, October 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $191 from a physician practice, and about $240 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$191$158 to $214
FacilityA hospital or hospital-owned outpatient department$240$158 to $316

How much rates vary

Facilitymedian $240 · 10th to 90th $158 to $447Professionalmedian $191 · 10th to 90th $158 to $229
$200$500facility $240professional $191

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$112.20
Median
$158.49
Typical High
$158.49
Aetna
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$158.49
Typical High
$194.98
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$79.43
Median
$79.43
Typical High
$95.50
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$32.36
Median
$32.36
Typical High
$38.90
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$23.99
Median
$23.99
Typical High
$28.84
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$15.85
Median
$15.85
Typical High
$19.50
BCBS North Carolina
Setting
Facility
Modifier
None
Typical Low
$309.03
Median
$309.03
Typical High
$371.54
BCBS North Carolina
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$138.04
Typical High
$199.53
Cigna
Setting
Facility
Modifier
None
Typical Low
$239.88
Median
$269.15
Typical High
$446.68
Cigna
Setting
Professional
Modifier
None
Typical Low
$213.80
Median
$213.80
Typical High
$218.78
Medcost
Setting
Facility
Modifier
None
Typical Low
$158.49
Median
$158.49
Typical High
$169.82
Medcost
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
United
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$190.55
Typical High
$229.09

Where North Carolina sits

The same service costs 8.3 times more in Arizona than in Alabama. 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.

North Carolina· 28th of 51

$200

AZ $331AL $39.81

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.