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COVID-19 Vaccine Product

Arizona rates for HCPCS 91304

Covers a dose of COVID-19 vaccine — the vaccine material itself, kept separate from the charge for the visit and for giving the injection. Each brand and formulation of COVID-19 vaccine is listed on its own.

Rates data updated July 2026.

Facilitymedian $372 · 10th–90th $155$9550%10%10th90th$372Professionalmedian $191 · 10th–90th $191$3720%50%90th$191$0.1$0.2$1.0$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$407.38
BCBS
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$457.09
Typical High
$1,023.29
BCBS
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$371.54
Typical High
$1,318.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$295.12
Typical High
$346.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Medica
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$190.55
Typical High
$275.42
Medica
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$181.97
Typical High
$194.98
United
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$251.19
United
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$204.17
Typical High
$204.17