# CPT 90461: Immunization administration, each additional vaccine component (add-on)

Medicare CPT 90461 pays $8.68 in a non-facility setting and $8.68 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $8.19 in Arkansas to $11.69 in Alaska, a 43% spread.

Web page: https://www.med-reveal.com/rates/90461-cpt-fee-schedule
Section: Medical and Therapeutic Services
Billed by: Clinic/Center, Family Medicine, Pediatrics

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $8.68 |
| National facility | $8.68 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $11.69 | $11.69 |
| District of Columbia | $9.46 | $9.46 |
| New York | $9.36 | $9.36 |
| New Jersey | $9.32 | $9.32 |
| California | $9.18 | $9.18 |
| Washington | $9.13 | $9.13 |
| Massachusetts | $9.09 | $9.09 |
| Connecticut | $9.05 | $9.05 |
| Florida | $9.01 | $9.01 |
| Illinois | $8.93 | $8.93 |
| Maryland | $8.89 | $8.89 |
| Hawaii | $8.86 | $8.86 |
| Rhode Island | $8.84 | $8.84 |
| Colorado | $8.83 | $8.83 |
| Oregon | $8.77 | $8.77 |
| New Hampshire | $8.74 | $8.74 |
| Pennsylvania | $8.71 | $8.71 |
| Puerto Rico | $8.70 | $8.70 |
| Virgin Islands | $8.70 | $8.70 |
| Michigan | $8.68 | $8.68 |
| Montana | $8.68 | $8.68 |
| Georgia | $8.66 | $8.66 |
| Texas | $8.66 | $8.66 |
| Delaware | $8.65 | $8.65 |
| Nevada | $8.63 | $8.63 |
| Wyoming | $8.60 | $8.60 |
| Arizona | $8.56 | $8.56 |
| New Mexico | $8.56 | $8.56 |
| Virginia | $8.55 | $8.55 |
| Minnesota | $8.52 | $8.52 |
| West Virginia | $8.52 | $8.52 |
| Utah | $8.51 | $8.51 |
| Louisiana | $8.50 | $8.50 |
| Vermont | $8.50 | $8.50 |
| North Dakota | $8.49 | $8.49 |
| Missouri | $8.48 | $8.48 |
| Ohio | $8.48 | $8.48 |
| South Carolina | $8.46 | $8.46 |
| South Dakota | $8.46 | $8.46 |
| Maine | $8.45 | $8.45 |
| North Carolina | $8.41 | $8.41 |
| Kentucky | $8.40 | $8.40 |
| Oklahoma | $8.36 | $8.36 |
| Wisconsin | $8.35 | $8.35 |
| Indiana | $8.34 | $8.34 |
| Idaho | $8.32 | $8.32 |
| Tennessee | $8.32 | $8.32 |
| Nebraska | $8.30 | $8.30 |
| Kansas | $8.29 | $8.29 |
| Iowa | $8.28 | $8.28 |
| Mississippi | $8.27 | $8.27 |
| Alabama | $8.25 | $8.25 |
| Arkansas | $8.19 | $8.19 |

## Related codes

- 90460: Immunization administration through 18 years, with counseling, first vaccine component — https://www.med-reveal.com/rates/90460-cpt-fee-schedule
- 90471: Immunization administration, one vaccine — https://www.med-reveal.com/rates/90471-cpt-fee-schedule
- 90472: Immunization administration, each additional vaccine (add-on) — https://www.med-reveal.com/rates/90472-cpt-fee-schedule
- 90473: Immunization administration, intranasal or oral, one vaccine — https://www.med-reveal.com/rates/90473-cpt-fee-schedule
- 90474: Immunization administration, intranasal or oral, each additional vaccine (add-on) — https://www.med-reveal.com/rates/90474-cpt-fee-schedule
- G0008: Administration of influenza virus vaccine — https://www.med-reveal.com/rates/G0008-hcpcs-fee-schedule
- G0009: Administration of pneumococcal vaccine — https://www.med-reveal.com/rates/G0009-hcpcs-fee-schedule
- G0010: Administration of hepatitis B vaccine — https://www.med-reveal.com/rates/G0010-hcpcs-fee-schedule

Commercial negotiated rates for 90461 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules