go back

Washington rates for HCPCS J0696

Injection, ceftriaxone sodium, per 250 mg

Facilitymedian $31 · 10th–90th $6$1510%10%10th90th$31Professionalmedian $3 · 10th–90th $1$90%10%10th90th$3$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.61 / $30.90 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.91 / $2.69 / $8.51
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $51.29 / $61.66
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.43 / $0.43 / $0.43
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.43 / $0.43 / $0.43
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.56 / $0.56 / $2.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.43 / $0.43 / $0.52
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $75.86
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.43 / $0.43 / $1.29
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.72 / $1.32 / $1.32
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.52 / $0.72 / $0.72
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.43 / $0.43 / $0.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.43 / $0.43 / $0.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.49 / $0.49 / $1.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.46 / $0.46 / $0.49
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.43 / $0.43 / $0.56