go back

Tetracycline Injection

California rates for HCPCS J0120

Injection, tetracycline, up to 250 mg

Rates data updated July 2026.

How much does Tetracycline Injection cost?

$34.67per 250 mg

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $34.67 for each 250 mg of this drug. The price depends on where it is billed: about $13.80 from a physician practice, and about $37.15 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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
$13.80
At a hospital outpatient department
$37.15

The same drug, in the same amount, costs 169% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$13.80$13.80 to $33.88
FacilityA hospital or hospital-owned outpatient department$37.15$35.48 to $40.74

How much rates vary

Facilitymedian $37 · 10th to 90th $23 to $52Professionalmedian $14 · 10th to 90th $13 to $40
$20$50$100$200facility $37professional $14

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$32.36
Typical High
$83.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$13.80
Typical High
$23.99
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$39.81
Typical High
$52.48
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$33.88
Typical High
$190.55
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$39.81
Typical High
$398.11
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$16.60
Typical High
$16.60
Providence
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$19.95
Typical High
$38.02
Providence
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$33.11
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$4.90
Typical High
$4.90

Where California sits

The same service costs 478.6 times more in Wyoming than in Minnesota. 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.

California· 4th of 49

$34.67

WY $100MN $0.21

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.