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BCG Vaccine Against Tuberculosis

Pennsylvania 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?

$214

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $214 for this service. The price depends on where it is billed: about $209 from a physician practice, and about $263 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$209$195 to $214
FacilityA hospital or hospital-owned outpatient department$263$214 to $776

How much rates vary

Facilitymedian $263 · 10th to 90th $195 to $891Professionalmedian $209 · 10th to 90th $195 to $229
$100$1K$10K$100Kfacility $263professional $209

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
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$199.53
Median
$229.09
Typical High
$5,011.87
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Cigna
Setting
Facility
Modifier
None
Typical Low
$213.80
Median
$354.81
Typical High
$812.83
Cigna
Setting
Professional
Modifier
None
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Geisinger
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
Martin's Point
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Martin's Point
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
Martin's Point
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$28.84
Median
$28.84
Typical High
$28.84
Martin's Point
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$19.50
Median
$19.50
Typical High
$19.50
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$16.60
Median
$20.42
Typical High
$24.55
United
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$229.09
Typical High
$281.84

Where Pennsylvania 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.

Pennsylvania· 14th of 51

$214

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.