go back

Ampicillin Injection

Utah rates for HCPCS J0290

Injection, ampicillin sodium, 500 mg

Rates data updated July 2026.

Facilitymedian $14 · 10th–90th $1$280%10%10th90th$14Professionalmedian $1 · 10th–90th $1$10%50%10th$1$1.0$2.0$5.0$10.0$20.0$50.0$100.0

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
$6.03
Median
$13.80
Typical High
$28.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.74
Median
$0.74
Typical High
$0.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.69
Median
$0.85
Typical High
$1.41
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.65
Median
$0.65
Typical High
$0.65
Select Health
Setting
Facility
Modifier
Global
Typical Low
$0.71
Median
$0.71
Typical High
$0.71
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$0.58
Median
$0.65
Typical High
$0.71
United
Setting
Professional
Modifier
Global
Typical Low
$0.59
Median
$0.59
Typical High
$0.59