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Giving an Extra Oral or Nasal Vaccine

Nationwide rates for HCPCS 90474

The service of giving an additional vaccine by mouth or as a nasal spray during the same visit, covering the act of giving the dose and recording it. It applies when more than one vaccine is given at a single appointment and is billed in addition to the first vaccine given that day. It covers the administration rather than the vaccine product itself.

Rates data updated July 2026.

Facilitymedian $17 · 10th–90th $5$600%10%10th90th$17Professionalmedian $14 · 10th–90th $3$370%5%10%10th90th$14$0.1$1.0$10.0$100.0$1.0K$10.0K$100.0K

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
$3.02
Median
$18.20
Typical High
$75.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$12.88
Typical High
$39.81
BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$12.88
Typical High
$32.36
BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$12.30
Typical High
$23.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$38.02
Typical High
$100.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$14.79
Typical High
$42.66
United
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$17.38
Typical High
$19.05
United
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$12.30
Typical High
$27.54