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 J3263 (Loqtorzi) Fee Schedule
Medicare rates as of October 2026
HCPCS J3263 is classified under Drugs Administered Other than Oral Method, in the Drugs, Administered by Injection subgroup.
Injection, toripalimab-tpzi, 1 mg
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Complexity Level | Low |
| Medicare Fee Schedule | $40.66 per 1 mg (October 2026 ASP) · View Medicare rates for J3263 |
| Medicaid Fee Schedule | $40.655 median of the 8 states in the free preview · View Medicaid rates for J3263 |
| Medicare Payment Limit | $39.409  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
National average reimbursement for HCPCS J3263 by major payers:
$41.22
BCBS / Anthem
$39.36
UnitedHealthcare
$77.01
Aetna
$46.58
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS J3263.
HCPCS J3263
5 of 25 sample ratesHigher to lower in this preview
Christina Boyd
$157.94Published rateAdventist Midwest Health, Uchicago Medicine Adventhealth Hinsdale
Adventist Midwest Health
$43.77Published rateSt Josephs Hospital Breese Of The Hospital Sisters Of The Third Orde, St. Joseph'S Hospital
St Josephs Hosp Of The Hosp Sisters Of The 3rd Order Of St Francis
$41.24Published rateOsf Healthcare System, Osf Little Company Of Mary Medical Center
Osf Healthcare System
$39.25Published rateNew York City Health And Hospitals Corporation, Metropolitan Hospital Center
New York City Health And Hospitals Corporation
$30.82Published 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 J3263 vs. Other Drugs, Administered by Injection Codes
| Code | Complexity | Description |
|---|---|---|
| J3263-HCPCS | Low | Injection, toripalimab-tpzi, 1 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J3263. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J3263 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 J3263) and we'll show you how you compare in 15 minutes or less.