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Giving an Extra Oral or Nasal Vaccine

California 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 $13 · 10th–90th $10$320%10%20%10th90th$13Professionalmedian $13 · 10th–90th $3$630%10%10th90th$13$5.0$20.0$100.0$500.0

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
$3.02
Typical High
$74.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$8.91
Typical High
$63.10
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$12.88
Typical High
$32.36
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$13.80
Typical High
$32.36
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$52.48
Typical High
$93.33
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$15.85
Typical High
$37.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$13.49
Typical High
$13.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$13.49
Typical High
$21.38
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$15.49
Typical High
$33.88
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Molina
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$21.88
Providence
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$11.48
Typical High
$25.12
Providence
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$13.49
Typical High
$21.38
Sutter Health Plus
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$41.69
United
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$17.78
United
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$12.88
Typical High
$45.71