Cost analysis for CPT J2356 — Injection, tezepelumab-ekko, 1 mg
Average Medicare Payment
$13.95
2023 data
Total Payments (2023)
$22.0M
Services (2023)
1.6M
Price Change (2022–2023)
-0.1%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2022 | $13.97 | $2.3M | 166.7K | — |
| 2023 | $13.95 | $22.0M | 1.6M | -0.1% |
The most expensive state pays 1.1x more than the cheapest for this procedure. NJ averages $14.52 vs CA at $13.17.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| NJ | $14.52 | $274.5K | 18.9K | 3 |
| LA | $14.47 | $63.8K | 4.4K | 1 |
| AL | $14.47 | $540.7K | 37.4K | 4 |
| WI | $14.42 | $230.1K | 16.0K | 1 |
| CO | $14.42 | $457.1K | 31.7K | 1 |
| IN | $14.36 | $455.3K | 31.7K | 1 |
| NY | $14.35 | $868.6K | 60.5K | 2 |
| NC | $14.33 | $1.1M | 77.1K | 4 |
| AZ | $14.32 | $1.1M | 75.0K | 5 |
| MI | $14.31 | $63.1K | 4.4K | 1 |
| OH | $14.30 | $918.9K | 64.3K | 6 |
| MA | $14.29 | $81.0K | 5.7K | 1 |
| VA | $14.27 | $1.2M | 84.6K | 6 |
| OR | $14.26 | $464.1K | 32.5K | 2 |
| WA | $14.25 | $233.4K | 16.4K | 1 |
| FL | $14.25 | $4.1M | 287.3K | 24 |
| IL | $14.23 | $514.1K | 36.1K | 3 |
| PA | $14.22 | $1.0M | 70.4K | 6 |
| NV | $14.22 | $1.1M | 78.8K | 3 |
| OK | $14.19 | $971.1K | 68.5K | 2 |
| TX | $14.12 | $1.9M | 134.6K | 10 |
| TN | $14.02 | $654.0K | 46.6K | 3 |
| SC | $13.98 | $769.1K | 55.0K | 7 |
| GA | $13.45 | $375.7K | 27.9K | 1 |
| CA | $13.17 | $2.6M | 194.8K | 14 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Lori Craig | Nurse Practitioner | OK | $788.4K | 55.6K | $14.17 |
| Jaime Kratz | Allergy/ Immunology | FL | $668.4K | 47.3K | $14.15 |
| Jason Karp | Pulmonary Disease | NY | $636.3K | 44.3K | $14.36 |
| Robert Brennan | Infectious Disease | VA | $591.4K | 41.2K | $14.37 |
| Walter Willoughby | Pulmonary Disease | NV | $546.0K | 38.4K | $14.21 |
| Christopher Webber | Allergy/ Immunology | CO | $457.1K | 31.7K | $14.42 |
| Raja Devanathan | Pulmonary Disease | IN | $455.3K | 31.7K | $14.36 |
| Robert Singh | Vascular Surgery | PA | $451.9K | 31.9K | $14.16 |
| Kristen Fleury | Nurse Practitioner | AZ | $429.1K | 30.0K | $14.29 |
| Joshua Jacobs | Allergy/ Immunology | CA | $414.2K | 29.0K | $14.29 |
| Kristi Hunter | Family Practice | GA | $375.7K | 27.9K | $13.45 |
| Naveen Sikka | Allergy/ Immunology | TX | $363.0K | 25.4K | $14.28 |
| Eugene Wade | Family Practice | NC | $361.1K | 24.8K | $14.57 |
| Mohsen Mabudian | Allergy/ Immunology | CA | $356.2K | 25.0K | $14.25 |
| R Swamy Venuturupalli | Rheumatology | CA | $352.1K | 24.6K | $14.33 |
| Ryan Klein | Internal Medicine | CA | $349.0K | 24.4K | $14.32 |
| Nina Wilson | Nurse Practitioner | TX | $332.3K | 23.1K | $14.39 |
| Leslie Denton | Emergency Medicine | NV | $298.1K | 21.2K | $14.05 |
| Evan Restelli | Pulmonary Disease | NC | $290.2K | 20.6K | $14.10 |
| Brett Stanaland | Allergy/ Immunology | FL | $287.7K | 19.9K | $14.42 |
Based on the data, CPT J2356 shows a 1.1x variation in pricing across states — relatively consistent by Medicare standards.
Costs have decreased 0.1% since 2022. 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.