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Giving an Extra Oral or Nasal Vaccine

Tennessee 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 $32 · 10th–90th $5$410%20%10th90th$32Professionalmedian $5 · 10th–90th $5$270%20%40%90th$5$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
$31.62
Typical High
$40.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$5.01
Typical High
$26.92
BCBS
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$11.75
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$10.00
Typical High
$15.85
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$17.78
United
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$11.75
Typical High
$21.88