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Tetracycline Injection

Illinois 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 facility fee. In Illinois, October 2026.

Insurers have agreed to pay about $13.18 for each 250 mg of this drug. Most negotiated rates run $13.18 to $13.18.

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
At a hospital outpatient department
$26.92

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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $27 · 10th to 90th $13 to $52Professionalmedian $13 · 10th to 90th $13 to $14
$0.1$1$10$100facility $27professional $13

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$13.18
Median
$26.92
Typical High
$50.12
Aetna
Setting
Professional
Modifier
None
Typical Low
$13.18
Median
$13.18
Typical High
$13.18
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$6.61
Median
$6.61
Typical High
$6.61
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$2.63
Median
$2.63
Typical High
$2.63
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$2.00
Median
$2.00
Typical High
$2.00
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$1.32
Median
$1.32
Typical High
$1.32
Cigna
Setting
Facility
Modifier
None
Typical Low
$0.03
Median
$0.03
Typical High
$0.03
Hally Health
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$125.89
Typical High
$151.36
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00

Where Illinois sits

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.

Illinois· 31st of 51

$13.18

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.