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COVID-19 Vaccine Product

Montana 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 October 2026.

How much does COVID-19 Vaccine Product cost?

$204

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $204 for this service. The price depends on where it is billed: about $204 from a physician practice, and about $240 from a hospital or other facility.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$204$191 to $214
FacilityA hospital or hospital-owned outpatient department$240$186 to $331

How much rates vary

Facilitymedian $240 · 10th to 90th $186 to $355Professionalmedian $204 · 10th to 90th $79 to $257
$100$200facility $240professional $204

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$208.93
Typical High
$257.04
Cigna
Setting
Facility
Modifier
None
Typical Low
$186.21
Median
$186.21
Typical High
$190.55
Cigna
Setting
Professional
Modifier
None
Typical Low
$186.21
Median
$190.55
Typical High
$190.55
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$190.55
Median
$331.13
Typical High
$363.08
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$213.80
Median
$257.04
Typical High
$331.13
Providence
Setting
Facility
Modifier
None
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$186.21
Typical High
$208.93
United
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$190.55
Typical High
$204.17

Where Montana sits

The same service costs 6.3 times more in Arizona than in Alabama. 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.

Montana· 8th of 51

$204

AZ $251AL $39.81

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.