# CPT 90472: Immunization administration, each additional vaccine (add-on)

Medicare CPT 90472 pays $16.03 in a non-facility setting and $16.03 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $14.36 in Arkansas to $19.08 in Alaska, a 33% spread.

Web page: https://www.med-reveal.com/rates/90472-cpt-fee-schedule
Section: Medical and Therapeutic Services
Billed by: Clinic/Center, Emergency Medicine, Family Medicine, Pediatrics

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $16.03 |
| National facility | $16.03 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $19.08 | $19.08 |
| District of Columbia | $18.24 | $18.24 |
| California | $18.02 | $18.02 |
| New Jersey | $17.67 | $17.67 |
| New York | $17.63 | $17.63 |
| Washington | $17.61 | $17.61 |
| Massachusetts | $17.44 | $17.44 |
| Hawaii | $17.36 | $17.36 |
| Connecticut | $17.03 | $17.03 |
| Colorado | $16.70 | $16.70 |
| Maryland | $16.58 | $16.58 |
| Oregon | $16.55 | $16.55 |
| Rhode Island | $16.44 | $16.44 |
| New Hampshire | $16.43 | $16.43 |
| Florida | $16.38 | $16.38 |
| Puerto Rico | $16.14 | $16.14 |
| Virgin Islands | $16.14 | $16.14 |
| Minnesota | $16.11 | $16.11 |
| Montana | $16.03 | $16.03 |
| Illinois | $15.99 | $15.99 |
| Nevada | $15.99 | $15.99 |
| Wyoming | $15.95 | $15.95 |
| Delaware | $15.90 | $15.90 |
| Pennsylvania | $15.89 | $15.89 |
| Texas | $15.87 | $15.87 |
| North Dakota | $15.83 | $15.83 |
| South Dakota | $15.81 | $15.81 |
| Vermont | $15.76 | $15.76 |
| Virginia | $15.75 | $15.75 |
| Arizona | $15.65 | $15.65 |
| Georgia | $15.61 | $15.61 |
| Michigan | $15.52 | $15.52 |
| Maine | $15.43 | $15.43 |
| Utah | $15.36 | $15.36 |
| Wisconsin | $15.35 | $15.35 |
| New Mexico | $15.21 | $15.21 |
| North Carolina | $15.20 | $15.20 |
| South Carolina | $15.17 | $15.17 |
| Missouri | $15.15 | $15.15 |
| Louisiana | $15.12 | $15.12 |
| Ohio | $15.11 | $15.11 |
| Indiana | $15.08 | $15.08 |
| Idaho | $15.00 | $15.00 |
| Nebraska | $15.00 | $15.00 |
| Iowa | $14.92 | $14.92 |
| Tennessee | $14.91 | $14.91 |
| Kansas | $14.84 | $14.84 |
| Kentucky | $14.82 | $14.82 |
| Oklahoma | $14.81 | $14.81 |
| West Virginia | $14.78 | $14.78 |
| Alabama | $14.55 | $14.55 |
| Mississippi | $14.46 | $14.46 |
| Arkansas | $14.36 | $14.36 |

## Related codes

- 90460: Immunization administration through 18 years, with counseling, first vaccine component — https://www.med-reveal.com/rates/90460-cpt-fee-schedule
- 90461: Immunization administration, each additional vaccine component (add-on) — https://www.med-reveal.com/rates/90461-cpt-fee-schedule
- 90471: Immunization administration, one vaccine — https://www.med-reveal.com/rates/90471-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 90472 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