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Giving an Extra Oral or Nasal Vaccine

North Carolina 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 $19 · 10th–90th $5$470%20%10th90th$19Professionalmedian $20 · 10th–90th $3$350%10%10th90th$20$5.0$10.0$20.0$50.0

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
$5.01
Median
$18.62
Typical High
$46.77
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$20.42
Typical High
$35.48
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$11.75
BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$13.49
Typical High
$14.45
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$12.30
Typical High
$14.79
Medcost
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$7.24
Typical High
$19.50
United
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$12.02
Typical High
$23.44
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43