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Ampicillin Injection

Illinois rates for HCPCS J0290

Injection, ampicillin sodium, 500 mg

Rates data updated July 2026.

Facilitymedian $4 · 10th–90th $1$340%10%10th90th$4Professionalmedian $1 · 10th–90th $1$20%50%10th90th$1$0.5$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$0.65
Median
$4.37
Typical High
$36.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.65
Median
$0.65
Typical High
$1.12
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2.95
Median
$8.32
Typical High
$19.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.89
Median
$1.20
Typical High
$1.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.65
Median
$0.65
Typical High
$0.65
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$0.55
Median
$2.24
Typical High
$35.48
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$0.72
Median
$0.72
Typical High
$0.72
United
Setting
Facility
Modifier
Global
Typical Low
$0.65
Median
$1.07
Typical High
$1.07
United
Setting
Professional
Modifier
Global
Typical Low
$0.59
Median
$0.59
Typical High
$0.63