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Giving an Extra Oral or Nasal Vaccine

Washington 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 $26 · 10th–90th $16$420%10%20%10th90th$26Professionalmedian $20 · 10th–90th $3$650%10%10th90th$20$5.0$10.0$20.0$50.0$100.0

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
$16.22
Median
$28.18
Typical High
$41.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.16
Median
$20.42
Typical High
$64.57
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$16.98
Typical High
$23.44
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$16.98
Typical High
$22.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$12.30
Typical High
$15.14
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$64.57
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$23.44
Typical High
$23.99
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$16.60
Typical High
$16.60
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$24.55
Typical High
$34.67
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$79.43
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$16.98
Typical High
$22.91
United
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$12.30
United
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$12.88
Typical High
$33.88
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$16.98
Typical High
$26.92