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COVID-19 Vaccine Product

Ohio 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?

$209

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $209 for this service. The price depends on where it is billed: about $191 from a physician practice, and about $295 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 7 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 $224
FacilityA hospital or hospital-owned outpatient department$295$209 to $479

How much rates vary

Facilitymedian $295 · 10th to 90th $191 to $575Professionalmedian $191 · 10th to 90th $174 to $316
$0.1$1$10$100$1Kfacility $295professional $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
$0.02
Median
$208.93
Typical High
$575.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$316.23
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$354.81
Typical High
$1,000.00
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$199.53
Typical High
$316.23
CareSource
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
CareSource
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$467.74
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$204.17
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$467.74
Typical High
$575.44
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$208.93
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$190.55
Typical High
$416.87
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$204.17
Typical High
$204.17

Where Ohio 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.

Ohio· 5th of 51

$209

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.