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COVID-19 Vaccine Product

Massachusetts 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.

How much does COVID-19 Vaccine Product cost?

$191

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $191 for this service. The price depends on where it is billed: about $191 from a physician practice, and about $148 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 8 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$191$191 to $191
FacilityA hospital or hospital-owned outpatient department$148$148 to $191

How much rates vary

Facilitymedian $148 · 10th to 90th $148 to $417Professionalmedian $191 · 10th to 90th $162 to $309
$200$500$1K$2K$5Kfacility $148professional $191

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
$190.55
Median
$190.55
Typical High
$190.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$575.44
Typical High
$630.96
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$190.55
Typical High
$229.09
BCBS
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
BCBS
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$398.11
Typical High
$812.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$199.53
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$275.42
Typical High
$6,918.31
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$190.55
Typical High
$323.59
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$575.44
Typical High
$630.96
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$190.55
Typical High
$229.09
United
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$190.55
Typical High
$416.87
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$194.98
Typical High
$251.19

Where Massachusetts sits

The same service costs 1.9 times more in Delaware than in Kentucky. 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.

Massachusetts· 17th of 51

$191

DE $316KY $170

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.