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Tetracycline Injection

New York rates for HCPCS J0120

Injection, tetracycline, up to 250 mg

Rates data updated July 2026.

How much does Tetracycline Injection cost?

$14.79per 250 mg

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $14.79 for each 250 mg of this drug. The price depends on where it is billed: about $178 from a physician practice, and about $14.13 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
$178
At a hospital outpatient department
$14.13

The same drug, in the same amount, costs 92% less 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 7 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$178$13.18 to $240
FacilityA hospital or hospital-owned outpatient department$14.13$13.18 to $19.05

How much rates vary

Facilitymedian $14 · 10th to 90th $11 to $33Professionalmedian $178 · 10th to 90th $11 to $302
$1$10$100$1K$10Kfacility $14professional $178

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
$13.18
Median
$14.13
Typical High
$33.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$13.18
Typical High
$14.13
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$239.88
Typical High
$467.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$4.57
Median
$4.57
Typical High
$7.94
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$39.81
Typical High
$40.74
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$53,703.18
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$12.88
United
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$25.70
Typical High
$60.26
Univera
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$12.30
Univera
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$12.30
Typical High
$12.30

Where New York 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.

New York· 9th of 49

$14.79

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.