Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonHCPCS J2186 (Vabomere) Fee Schedule
HCPCS J2186 is classified under Drugs Administered Other than Oral Method, in the Drugs, Administered by Injection subgroup.
Injection, meropenem and vaborbactam, 10mg/10mg (20mg)
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | 99 - Other POS |
| Complexity Level | Low |
| Medicaid Fee Schedule | $2.19 median of the 7 states in the free preview · View Medicaid rates for J2186 |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
National average reimbursement for HCPCS J2186 by major payers:
$2.62
BCBS / Anthem
$2.18
UnitedHealthcare
$2.41
Aetna
$2.22
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS J2186.
HCPCS J2186
5 of 25 sample ratesHigher to lower in this preview
UPMC Altoona, Williamsburg Family Practice
UPMC
$3.53Published rateMonroe Health Services, Inc.
Monroe Health Services Inc
$2.20Published rateSt. Vincent Healthcare, Medical Practices Division
Scl Health Montana
$2.11Published rateKaleida Health, John R. Oishei Children'S Hospital
Kaleida Health
$2.11Published rateSaint Francis Hospital Inc, Saint Francis Hospital Breast Center
Saint Francis Hospital Inc
$1.90Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS J2186 vs. Other Drugs, Administered by Injection Codes
The table lists codes related to J2186. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| J2185-HCPCS | Low | Injection, meropenem, 100 mg |
| J2186-HCPCS | Low | Injection, meropenem and vaborbactam, 10mg/10mg (20mg) |
| J2210-HCPCS | Low | Injection, methylergonovine maleate, up to 0.2 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J2186. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J2186 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like HCPCS J2186) and we'll show you how you compare in 15 minutes or less.