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BCG Vaccine Against Tuberculosis

Ohio 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?

$214

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $214 for this service. The price depends on where it is billed: about $195 from a physician practice, and about $282 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 7 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$195$186 to $251
FacilityA hospital or hospital-owned outpatient department$282$204 to $550

How much rates vary

Facilitymedian $282 · 10th to 90th $186 to $646Professionalmedian $195 · 10th to 90th $186 to $316
$2.0$10.0$50.0$200.0$1.0Kfacility $282professional $195

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
$223.87
Typical High
$549.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$316.23
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$407.38
Typical High
$1,230.27
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$204.17
Typical High
$338.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$524.81
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$229.09
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$524.81
Typical High
$645.65
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Molina
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$177.83
Typical High
$204.17
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$229.09
Typical High
$467.74
United
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$489.78
Typical High
$489.78
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$218.78
Typical High
$218.78

Where Ohio 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.

Ohio $214 · 8th 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.