go back

Tetracycline Injection

Massachusetts rates for HCPCS J0120

Injection, tetracycline, up to 250 mg

Rates data updated October 2026.

How much does Tetracycline Injection cost?

$30.20per 250 mg

Typical negotiated rate. In Massachusetts, October 2026.

Insurers have agreed to pay about $30.20 for each 250 mg of this drug. The price depends on where it is billed: about $14.13 from a physician practice, and about $39.81 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
$14.13
At a hospital outpatient department
$39.81

The same drug, in the same amount, costs 182% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$14.13$14.13 to $39.81
FacilityA hospital or hospital-owned outpatient department$39.81$30.20 to $97.72

How much rates vary

Facilitymedian $40 · 10th to 90th $12 to $98Professionalmedian $14 · 10th to 90th $12 to $48
$10$20$50$100facility $40professional $14

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
$14.13
Median
$14.13
Typical High
$14.13
Aetna
Setting
Professional
Modifier
None
Typical Low
$14.13
Median
$14.13
Typical High
$14.13
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$7.08
Median
$7.08
Typical High
$7.08
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$2.82
Median
$2.82
Typical High
$2.82
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$2.14
Median
$2.14
Typical High
$2.14
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$1.41
Median
$1.41
Typical High
$1.41
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
BCBS Massachusetts
Setting
Facility
Modifier
None
Typical Low
$9.55
Median
$9.77
Typical High
$22.39
Fallon Health
Setting
Facility
Modifier
None
Typical Low
$56.23
Median
$83.18
Typical High
$83.18
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$39.81
Typical High
$85.11
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

Where Massachusetts 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.

Massachusetts· 5th of 51

$30.20

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.