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BCG Vaccine Against Tuberculosis

Wisconsin 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 Wisconsin, 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 $200 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 11 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 $214
FacilityA hospital or hospital-owned outpatient department$200$186 to $363

How much rates vary

Facilitymedian $200 · 10th to 90th $141 to $646Professionalmedian $186 · 10th to 90th $186 to $309
$100.0$200.0$500.0facility $200professional $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
$223.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$380.19
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$213.80
Typical High
$371.54
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$141.25
Typical High
$251.19
Medica
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$141.25
Typical High
$251.19
Medica
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$199.53
Typical High
$281.84
Molina
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$85.11
Typical High
$134.90
Network Health
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$199.53
Typical High
$199.53
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$141.25
Typical High
$251.19
Quartz
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$281.84
Typical High
$371.54
Quartz
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$645.65
Typical High
$660.69
Quartz
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$213.80
Typical High
$213.80
Security Health
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$234.42
United
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$512.86
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$204.17
Typical High
$295.12

Where Wisconsin 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.

Wisconsin $186 · 36th 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.