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BCG Vaccine Against Tuberculosis

New York 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 New York, July 2026.

Insurers have agreed to pay about $186 for this service. The price depends on where it is billed: about $186 from a physician practice, and about $186 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 9 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$186$186 to $186
FacilityA hospital or hospital-owned outpatient department$186$186 to $186

How much rates vary

Facilitymedian $186 · 10th to 90th $186 to $224Professionalmedian $186 · 10th to 90th $186 to $214
$100.0$1.0K$10.0Kfacility $186professional $186

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
$186.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$213.80
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$1,023.29
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$213.80
Typical High
$478.63
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$204.17
Typical High
$234.42
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$199.53
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
United
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$239.88
Typical High
$239.88
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$199.53
Typical High
$281.84
Univera
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$186.21
Typical High
$194.98
Univera
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$186.21
Typical High
$223.87

Where New York 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.

New York $186 · 42nd 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.