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BCG Vaccine Against Tuberculosis

New Jersey 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?

$195

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $195 for this service. The price depends on where it is billed: about $195 from a physician practice, and about $11,749 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$195$195 to $195
FacilityA hospital or hospital-owned outpatient department$11,749$295 to $19,498

How much rates vary

Facilitymedian $11,749 · 10th to 90th $209 to $23,988Professionalmedian $195 · 10th to 90th $195 to $214
$200$500$1K$2K$5K$10K$20Kfacility $11,749professional $195

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
$194.98
Median
$194.98
Typical High
$194.98
Aetna
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$28.84
Median
$28.84
Typical High
$28.84
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$19.50
Median
$19.50
Typical High
$19.50
Cigna
Setting
Facility
Modifier
None
Typical Low
$177.83
Median
$213.80
Typical High
$316.23
Cigna
Setting
Professional
Modifier
None
Typical Low
$173.78
Median
$213.80
Typical High
$213.80
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$5,888.44
Median
$15,488.17
Typical High
$26,915.35
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
United
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$199.53
Typical High
$229.09

Where New Jersey 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.

New Jersey· 43rd of 51

$195

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.