go back

Pharmacy Extension of 025x - Drugs Requiring Detailed Coding

California rates for RC 0636

Pharmacy Extension of 025X-Drugs Requiring Detailed Coding

Rates data updated July 2026.

How much does Pharmacy Extension of 025x - Drugs Requiring Detailed Coding cost?

$4,169

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $4,169 for this service. Most negotiated rates run $832 to $10,471.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $4,169 · 10th to 90th $191 to $19,498
$100$1K$10Kfacility $4,169

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
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$4.68
Median
$13.18
Typical High
$51.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$66.07
Typical High
$120.23
HealthNet
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$4,466.84
Typical High
$19,952.62
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$208.93
Typical High
$331.13
Providence
Setting
Facility
Modifier
Global
Typical Low
$1.00
Median
$44.67
Typical High
$120.23

Where California sits

The same service costs 25118.9 times more in Connecticut than in West Virginia. 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.

California· 6th of 31

$4,169

CT $54,954WV $2.19

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.