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Giving an Extra Oral or Nasal Vaccine

Massachusetts 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 $25 · 10th–90th $9$560%20%10th90th$25Professionalmedian $17 · 10th–90th $3$510%20%10th90th$17$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$30.90
Typical High
$69.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$22.39
Typical High
$54.95
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$32.36
Typical High
$46.77
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$13.80
Typical High
$28.18
BCBS
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$41.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$13.18
Typical High
$40.74
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$16.60
Typical High
$3,630.78
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$14.13
Typical High
$20.42
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$14.79
Typical High
$30.20
Health New England
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$72.44
Typical High
$75.86
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$32.36
Typical High
$46.77
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$13.80
Typical High
$28.18
Tufts
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$9.77
Typical High
$524.81
United
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$7.76
Typical High
$19.05
United
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$13.49
Typical High
$27.54