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Tetracycline Injection

Nationwide rates for HCPCS J0120

Injection, tetracycline, up to 250 mg

Rates data updated October 2026.

How much does Tetracycline Injection cost?

$13.18per 250 mg

Typical negotiated rate. Nationwide, October 2026.

Insurers have agreed to pay about $13.18 for each 250 mg of this drug. The price depends on where it is billed: about $13.18 from a physician practice, and about $13.80 from a hospital or other facility.

Work out the cost of a dose

This drug is priced per 250 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$13.18
At a hospital outpatient department
$13.80

The same drug, in the same amount, costs 5% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

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 44 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$13.18$1.00 to $16.60
FacilityA hospital or hospital-owned outpatient department$13.80$0.43 to $19.95

How much rates vary

Facilitymedian $14 · 10th to 90th $0 to $40Professionalmedian $13 · 10th to 90th $1 to $34
$0.1$1$10$100facility $14professional $13

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$13.18
Median
$16.60
Typical High
$29.51
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$6.61
Median
$8.32
Typical High
$14.79
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$2.63
Median
$3.31
Typical High
$5.89
Aetna
Setting
Facility
Modifier
55 · Aftercare only
Typical Low
$2.00
Median
$2.51
Typical High
$4.47
Aetna
Setting
Facility
Modifier
56 · Pre-op care only
Typical Low
$1.32
Median
$1.66
Typical High
$2.95
Aetna
Setting
Professional
Modifier
None
Typical Low
$13.18
Median
$13.80
Typical High
$16.60
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$6.61
Median
$6.92
Typical High
$8.32
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$2.63
Median
$2.75
Typical High
$3.31
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$2.00
Median
$2.04
Typical High
$2.51
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$1.32
Median
$1.38
Typical High
$1.66
AllWays Health Partners
Setting
Facility
Modifier
None
Typical Low
$30.20
Median
$40.74
Typical High
$97.72
AllWays Health Partners
Setting
Professional
Modifier
None
Typical Low
$12.30
Median
$12.30
Typical High
$12.30
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$1.12
Median
$1.17
Typical High
$42.66
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$0.72
Median
$1.10
Typical High
$33.88
BCBS Arizona
Setting
Facility
Modifier
None
Typical Low
$12.02
Median
$51.29
Typical High
$77.62
BCBS Arizona
Setting
Professional
Modifier
None
Typical Low
$11.22
Median
$11.22
Typical High
$79.43
BCBS Arkansas
Setting
Facility
Modifier
None
Typical Low
$0.36
Median
$0.36
Typical High
$0.36
BCBS Arkansas
Setting
Professional
Modifier
None
Typical Low
$0.36
Median
$0.36
Typical High
$0.36
BCBS Idaho
Setting
Facility
Modifier
None
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
BCBS Kansas
Setting
Facility
Modifier
None
Typical Low
$16.60
Median
$17.38
Typical High
$17.38
BCBS Kansas
Setting
Professional
Modifier
None
Typical Low
$14.79
Median
$14.79
Typical High
$14.79
BCBS Massachusetts
Setting
Facility
Modifier
None
Typical Low
$9.55
Median
$9.77
Typical High
$22.39
BCBS Minnesota
Setting
Facility
Modifier
None
Typical Low
$0.21
Median
$0.41
Typical High
$0.42
BCBS Minnesota
Setting
Professional
Modifier
None
Typical Low
$0.17
Median
$0.19
Typical High
$0.21
BCBS Oklahoma
Setting
Facility
Modifier
None
Typical Low
$0.21
Median
$0.34
Typical High
$0.54
BCBS South Carolina
Setting
Facility
Modifier
None
Typical Low
$16.98
Median
$19.50
Typical High
$21.38
BCBS South Carolina
Setting
Professional
Modifier
None
Typical Low
$15.85
Median
$15.85
Typical High
$15.85
BCBS Texas
Setting
Facility
Modifier
None
Typical Low
$22.91
Median
$22.91
Typical High
$22.91
BCBS Texas
Setting
Professional
Modifier
None
Typical Low
$22.91
Median
$22.91
Typical High
$22.91
BCBS Wyoming
Setting
Professional
Modifier
None
Typical Low
$85.11
Median
$100.00
Typical High
$100.00
BCBS Wyoming
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$58.88
Median
$70.79
Typical High
$70.79
BCBS Wyoming
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$16.98
Median
$19.95
Typical High
$19.95
Blue Shield
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$9.12
Median
$10.47
Typical High
$12.30
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$10.47
Median
$10.47
Typical High
$10.47
CareFirst
Setting
Professional
Modifier
None
Typical Low
$19.50
Median
$19.50
Typical High
$19.50
Cigna
Setting
Facility
Modifier
None
Typical Low
$13.18
Median
$27.54
Typical High
$64.57
Cigna
Setting
Professional
Modifier
None
Typical Low
$10.23
Median
$11.75
Typical High
$13.18
DeanCare
Setting
Facility
Modifier
None
Typical Low
$13.18
Median
$13.18
Typical High
$13.18
Denver HMP
Setting
Facility
Modifier
None
Typical Low
$13.18
Median
$13.18
Typical High
$19.05
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$4.57
Median
$4.57
Typical High
$7.41
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$36.31
Median
$38.90
Typical High
$38.90
Fallon Health
Setting
Facility
Modifier
None
Typical Low
$56.23
Median
$83.18
Typical High
$83.18
Florida Blue
Setting
Professional
Modifier
None
Typical Low
$12.59
Median
$12.59
Typical High
$12.59
Hally Health
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$125.89
Typical High
$151.36
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$39.81
Typical High
$87.10
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$2.75
Median
$3.09
Typical High
$41.69
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$1.07
Median
$1.17
Typical High
$13.18
Health Partners
Setting
Facility
Modifier
None
Typical Low
$10.23
Median
$25.12
Typical High
$38.02
Health Partners
Setting
Professional
Modifier
None
Typical Low
$10.23
Median
$10.23
Typical High
$10.23
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$21.88
Median
$39.81
Typical High
$79.43
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$12.88
Median
$12.88
Typical High
$12.88
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$14.13
Median
$21.38
Typical High
$22.39
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$14.13
Median
$14.13
Typical High
$14.13
Martin's Point
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$7.08
Median
$7.08
Typical High
$7.08
Martin's Point
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$2.82
Median
$2.82
Typical High
$2.82
Martin's Point
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$2.14
Median
$2.14
Typical High
$2.14
Martin's Point
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$1.41
Median
$1.41
Typical High
$1.41
Mass General Brigham
Setting
Facility
Modifier
None
Typical Low
$30.20
Median
$40.74
Typical High
$97.72
Mass General Brigham
Setting
Professional
Modifier
None
Typical Low
$12.30
Median
$12.30
Typical High
$12.30
Medcost
Setting
Facility
Modifier
None
Typical Low
$13.49
Median
$15.14
Typical High
$21.38
Medica
Setting
Facility
Modifier
None
Typical Low
$13.18
Median
$16.22
Typical High
$100.00
Medica
Setting
Professional
Modifier
None
Typical Low
$8.71
Median
$8.71
Typical High
$18.20
Midlands
Setting
Professional
Modifier
None
Typical Low
$8.91
Median
$8.91
Typical High
$8.91
Moda Health
Setting
Facility
Modifier
None
Typical Low
$13.49
Median
$19.05
Typical High
$31.62
Moda Health
Setting
Professional
Modifier
None
Typical Low
$13.18
Median
$13.49
Typical High
$14.45
Moda Health
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$6.61
Median
$6.76
Typical High
$7.08
Moda Health
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$2.63
Median
$2.75
Typical High
$2.88
Moda Health
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$2.00
Median
$2.04
Typical High
$2.14
Moda Health
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$1.32
Median
$1.35
Typical High
$1.45
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$50.12
Typical High
$77.62
Prevea360
Setting
Facility
Modifier
None
Typical Low
$13.18
Median
$13.18
Typical High
$13.18
Priority Health
Setting
Professional
Modifier
None
Typical Low
$18.20
Median
$18.20
Typical High
$18.20
Providence
Setting
Facility
Modifier
None
Typical Low
$13.49
Median
$19.50
Typical High
$22.39
Providence
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$79.43
Typical High
$79.43
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
United
Setting
Professional
Modifier
None
Typical Low
$3.31
Median
$39.81
Typical High
$60.26
Univera
Setting
Facility
Modifier
None
Typical Low
$10.23
Median
$12.30
Typical High
$12.30
Univera
Setting
Professional
Modifier
None
Typical Low
$10.23
Median
$12.30
Typical High
$12.30
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$11.48
Median
$11.48
Typical High
$11.48
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$1.00
Median
$1.00
Typical High
$15.14

What it costs in each state

The same service costs 1412.5 times more in Wyoming than in Missouri. 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.

Touch or drag across the chart to see any state's rate.

WY $85.11MO $0.06

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.