go back

Oral Adenovirus Vaccine, Type 4

Ohio rates for HCPCS 90476

A live vaccine against adenovirus type 4, one of the viruses that causes respiratory illness, supplied as a capsule to be swallowed. It is used in settings where outbreaks of this infection spread rapidly among people living in close quarters. This covers the vaccine product itself; giving it is charged separately.

Rates data updated July 2026.

How much does Oral Adenovirus Vaccine, Type 4 cost?

$5.50

Typical physician fee. In Ohio, July 2026.

Insurers have agreed to pay about $5.50 for this service. Most negotiated rates run $0.07 to $60.26.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $115 · 10th to 90th $110 to $126Professionalmedian $5 · 10th to 90th $0 to $120
$0.1$1$10$100facility $115professional $5

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$114.82
Typical High
$125.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$120.23
Typical High
$125.89
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$5.50
Typical High
$5.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$28.84
Molina
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$50.12
Typical High
$50.12
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26

Where Ohio sits

The same service costs 48977.9 times more in Utah than in Indiana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Ohio· 33rd of 39

$5.50

UT $977IN $0.02

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.