go back

Ampicillin Injection

Washington rates for HCPCS J0290

Injection, ampicillin sodium, 500 mg

Rates data updated July 2026.

Facilitymedian $1 · 10th–90th $1$120%10%20%10th90th$1Professionalmedian $1 · 10th–90th $1$30%20%40%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
$0.71
Median
$1.29
Typical High
$12.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.65
Median
$0.71
Typical High
$2.82
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$0.65
Median
$0.65
Typical High
$0.65
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$0.65
Median
$0.65
Typical High
$0.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.85
Median
$0.85
Typical High
$1.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.65
Median
$0.65
Typical High
$0.79
Molina
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$75.86
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$0.55
Median
$0.87
Typical High
$1.38
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.74
Median
$2.45
Typical High
$2.45
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.52
Median
$0.74
Typical High
$0.74
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$0.65
Median
$0.65
Typical High
$0.65
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$0.65
Median
$0.65
Typical High
$0.65
United
Setting
Facility
Modifier
Global
Typical Low
$0.59
Median
$0.59
Typical High
$1.38
United
Setting
Professional
Modifier
Global
Typical Low
$0.59
Median
$0.59
Typical High
$0.59
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$0.65
Median
$0.65
Typical High
$0.83