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COVID-19 Vaccine Product

Pennsylvania 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 Pennsylvania, 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 $191 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$191$191 to $224

How much rates vary

Facilitymedian $191 · 10th to 90th $170 to $692Professionalmedian $191 · 10th to 90th $191 to $209
$200$500$1Kfacility $191professional $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
$208.93
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$204.17
Typical High
$251.19
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$190.55
Typical High
$190.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$660.69
Typical High
$707.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$331.13
Typical High
$331.13
Johns Hopkins Employer Health Plan
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$1,862.09
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$208.93
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$245.47
Typical High
$269.15
United
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$181.97
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$204.17
Typical High
$251.19

Where Pennsylvania 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.

Pennsylvania· 36th 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.