Cost analysis for CPT J1556 — Injection, immune globulin (bivigam), 500 mg
Average Medicare Payment
$56.17
2023 data
Total Payments (2023)
$35.2M
Services (2023)
627.0K
Price Change (2014–2023)
+87.9%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $29.89 | $782.9K | 26.1K | — |
| 2015 | $29.98 | $1.7M | 55.3K | +0.3% |
| 2016 | $29.85 | $4.5M | 149.7K | -0.4% |
| 2017 | $28.85 | $304.4K | 10.5K | -3.4% |
| 2019 | $55.29 | $322.3K | 5.8K | +91.6% |
| 2020 | $55.54 | $4.3M | 77.5K | +0.5% |
| 2021 | $56.48 | $7.0M | 123.7K | +1.7% |
| 2022 | $55.44 | $26.9M | 483.9K | -1.8% |
| 2023 | $56.17 | $35.2M | 627.0K | +1.3% |
The most expensive state pays 1.0x more than the cheapest for this procedure. AL averages $56.56 vs TX at $55.65.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| AL | $56.56 | $1.7M | 30.0K | 5 |
| MO | $56.55 | $450.1K | 8.0K | 2 |
| CA | $56.44 | $4.7M | 84.0K | 7 |
| FL | $56.32 | $3.6M | 63.1K | 1 |
| NV | $56.26 | $8.5M | 151.8K | 2 |
| MD | $56.25 | $974.8K | 17.3K | 5 |
| TN | $56.24 | $168.7K | 3.0K | 1 |
| MI | $56.23 | $143.4K | 2.5K | 1 |
| KS | $56.18 | $2.0M | 35.1K | 7 |
| CO | $56.14 | $1.4M | 24.3K | 5 |
| IN | $56.03 | $487.5K | 8.7K | 1 |
| OH | $55.87 | $5.3M | 94.1K | 2 |
| AZ | $55.78 | $3.6M | 64.0K | 2 |
| TX | $55.65 | $2.3M | 41.1K | 5 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Luis Diaz | Neurology | NV | $4.4M | 77.7K | $56.22 |
| Bess Chang | Neurology | NV | $4.2M | 74.1K | $56.30 |
| Kevin Rosenbach | Allergy/ Immunology | FL | $3.6M | 63.1K | $56.32 |
| Robert Hostoffer | Pediatric Medicine | OH | $2.8M | 49.7K | $55.47 |
| Haig Tcheurekdjian | Allergy/ Immunology | OH | $2.5M | 44.4K | $56.30 |
| Kumaraswamy Sivakumar | Neurology | AZ | $2.5M | 44.4K | $55.76 |
| Natan Shaoulian | Neurology | CA | $1.7M | 29.9K | $57.15 |
| Michael Manning | Allergy/ Immunology | AZ | $1.1M | 19.6K | $55.84 |
| Robert Zajac | Infectious Disease | TX | $896.3K | 16.0K | $56.16 |
| Xavier Caro | Rheumatology | CA | $822.1K | 14.8K | $55.70 |
| Matthew Tucker | Hematology-Oncology | AL | $717.1K | 12.7K | $56.46 |
| Arash Horizon | Rheumatology | CA | $652.4K | 11.7K | $55.91 |
| Carly Swint | Physician Assistant | CO | $606.8K | 10.8K | $56.03 |
| Kishore Sehgal | Hematology-Oncology | CA | $519.1K | 9.2K | $56.54 |
| Costantine Albany | Hematology-Oncology | IN | $487.5K | 8.7K | $56.03 |
| Richard Herrscher | Internal Medicine | TX | $465.5K | 8.6K | $53.94 |
| Evelyn Mendoza | Hematology-Oncology | CA | $456.9K | 8.1K | $56.34 |
| Garret Seiler | Infectious Disease | KS | $451.0K | 8.0K | $56.37 |
| Todd Price | Infectious Disease | TX | $446.0K | 7.9K | $56.53 |
| Jerry Peterie | Infectious Disease | KS | $390.3K | 7.0K | $55.44 |
Based on the data, CPT J1556 shows a 1.0x variation in pricing across states — relatively consistent by Medicare standards.
Costs have increased 87.9% since 2014. 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.