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Acetazolamide Injection

Washington rates for HCPCS J1120

Injection, acetazolamide sodium, up to 500 mg

Rates data updated July 2026.

How much does Acetazolamide Injection cost?

$26.92per 500 mg

Typical negotiated rate. In Washington, July 2026.

Insurers have agreed to pay about $26.92 for each 500 mg of this drug. The price depends on where it is billed: about $26.92 from a physician practice, and about $47.86 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 500 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$26.92
At a hospital outpatient department
$47.86

The same drug, in the same amount, costs 78% more 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 9 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$26.92$25.70 to $27.54
FacilityA hospital or hospital-owned outpatient department$47.86$28.84 to $54.95

How much rates vary

Facilitymedian $48 · 10th to 90th $27 to $174Professionalmedian $27 · 10th to 90th $25 to $63
$20$50$100$200facility $48professional $27

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
$26.92
Median
$48.98
Typical High
$173.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$77.62
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$24.55
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$24.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$47.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$30.20
Molina
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$75.86
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$21.88
Typical High
$38.90
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$39.81
Typical High
$39.81
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$25.70
Typical High
$25.70
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$24.55
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$24.55
United
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$60.26
United
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$31.62

Where Washington sits

The same service costs 1.8 times more in Wyoming than in Oklahoma. 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.

Washington· 22nd of 51

$26.92

WY $43.65OK $23.99

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.