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BCG Vaccine Against Tuberculosis

Virginia 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 Virginia, 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 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$186$186 to $186
FacilityA hospital or hospital-owned outpatient department$186$186 to $263

How much rates vary

Facilitymedian $186 · 10th to 90th $186 to $372Professionalmedian $186 · 10th to 90th $186 to $219
$100.0$200.0$500.0facility $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
$309.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$416.87
Typical High
$537.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$213.80
Typical High
$213.80
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$158.49
Typical High
$229.09
Medcost
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
Medcost
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$218.78
Typical High
$251.19
Sentara
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$213.80
Typical High
$323.59
Sentara
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$213.80
Typical High
$323.59
United
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$489.78
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$218.78
Typical High
$234.42

Where Virginia 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.

Virginia $186 · 32nd 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.