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COVID-19 Vaccine Product

California 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.

Facilitymedian $219 · 10th–90th $182$4470%50%10th90th$219Professionalmedian $191 · 10th–90th $191$3980%50%90th$191$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

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
Facility
Modifier
Global
Typical Low
$177.83
Median
$190.55
Typical High
$371.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$316.23
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$223.87
Typical High
$467.74
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$199.53
Typical High
$1,445.44
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$169.82
Typical High
$239.88
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$213.80
Typical High
$467.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$371.54
Typical High
$467.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$208.93
Typical High
$436.52
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
Providence
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$295.12
Typical High
$501.19
Providence
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
The Alliance
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$208.93
Typical High
$323.59
United
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$181.97
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$204.17
Typical High
$407.38