Cost analysis for CPT J0517 — Injection, benralizumab, 1 mg
Average Medicare Payment
$129.04
2023 data
Total Payments (2023)
$39.6M
Services (2023)
304.1K
Price Change (2019–2023)
-1.1%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2019 | $130.54 | $16.9M | 129.4K | — |
| 2020 | $133.82 | $24.8M | 184.8K | +2.5% |
| 2021 | $134.42 | $31.8M | 234.3K | +0.4% |
| 2022 | $130.15 | $37.0M | 282.5K | -3.2% |
| 2023 | $129.04 | $39.6M | 304.1K | -0.9% |
The most expensive state pays 1.2x more than the cheapest for this procedure. MO averages $132.62 vs NE at $111.16.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| MO | $132.62 | $588.8K | 4.4K | 4 |
| WA | $132.60 | $310.5K | 2.3K | 3 |
| KS | $132.55 | $465.2K | 3.5K | 3 |
| ID | $132.54 | $191.0K | 1.4K | 2 |
| IA | $132.50 | $246.4K | 1.9K | 1 |
| MA | $132.49 | $2.0M | 15.4K | 7 |
| SC | $132.46 | $2.9M | 21.8K | 16 |
| OH | $132.45 | $353.6K | 2.7K | 2 |
| IN | $132.42 | $651.5K | 4.9K | 1 |
| NV | $132.30 | $226.2K | 1.7K | 1 |
| MI | $132.30 | $373.1K | 2.8K | 2 |
| NC | $132.26 | $1.6M | 11.8K | 7 |
| CT | $132.26 | $277.7K | 2.1K | 1 |
| IL | $132.19 | $725.7K | 5.5K | 4 |
| MD | $132.17 | $983.3K | 7.4K | 3 |
| GA | $132.17 | $1.7M | 12.6K | 8 |
| AL | $132.08 | $134.7K | 1.0K | 1 |
| PA | $131.70 | $3.3M | 25.2K | 12 |
| OR | $131.61 | $292.2K | 2.2K | 1 |
| TN | $131.54 | $2.8M | 21.3K | 13 |
| AZ | $130.57 | $2.2M | 16.9K | 12 |
| FL | $130.24 | $3.0M | 22.9K | 16 |
| CO | $129.78 | $478.9K | 3.7K | 4 |
| NY | $129.45 | $1.9M | 14.6K | 10 |
| VA | $129.39 | $4.5M | 34.6K | 21 |
| TX | $128.96 | $3.3M | 25.8K | 21 |
| OK | $128.88 | $456.2K | 3.5K | 2 |
| DE | $128.76 | $127.5K | 990 | 1 |
| NJ | $125.37 | $624.4K | 5.0K | 3 |
| CA | $124.84 | $2.7M | 21.9K | 14 |
| KY | $114.07 | $106.1K | 930 | 1 |
| NE | $111.16 | $126.7K | 1.1K | 2 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Robert Brennan | Infectious Disease | VA | $1.1M | 8.3K | $126.86 |
| Robert Singh | Vascular Surgery | PA | $703.0K | 5.4K | $130.16 |
| Mohsen Mabudian | Allergy/ Immunology | CA | $694.6K | 5.3K | $132.31 |
| Raja Devanathan | Pulmonary Disease | IN | $651.5K | 4.9K | $132.42 |
| Angela Ahuja | Allergy/ Immunology | MA | $551.6K | 4.2K | $132.27 |
| Todd Levin | Allergy/ Immunology | TN | $528.7K | 4.0K | $132.24 |
| Stephen Parks | Family Practice | SC | $512.7K | 3.9K | $132.47 |
| Rachel Tedesco | Nurse Practitioner | NC | $502.4K | 3.8K | $131.87 |
| Kristi Hunter | Family Practice | GA | $499.3K | 3.8K | $132.09 |
| Marc Cromie | Allergy/ Immunology | TN | $485.9K | 3.7K | $130.56 |
| Johnson Wong | Allergy/ Immunology | MA | $477.2K | 3.6K | $132.54 |
| Ronda Crews | Nurse Practitioner | FL | $477.0K | 3.7K | $128.23 |
| Eugene Wade | Family Practice | NC | $476.6K | 3.6K | $133.49 |
| Bradley Chipps | Pulmonary Disease | CA | $463.6K | 3.5K | $132.09 |
| Ellen Vaughey | Pulmonary Disease | VA | $441.0K | 3.3K | $132.43 |
| Michael Mardiney | Allergy/ Immunology | MD | $412.3K | 3.1K | $132.15 |
| Shailen Shah | Allergy/ Immunology | PA | $409.1K | 3.1K | $132.41 |
| Danielle Mote | Nurse Practitioner | TN | $407.8K | 3.1K | $130.71 |
| Feryal Hajee | Allergy/ Immunology | NJ | $406.2K | 3.1K | $132.74 |
| Conrad Cordova | Nurse Practitioner | AZ | $401.2K | 3.0K | $132.39 |
Based on the data, CPT J0517 shows a 1.2x variation in pricing across states — relatively consistent by Medicare standards.
Costs have decreased 1.1% since 2019. Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.