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Adenosine Injection, 1 mg

North Carolina rates for HCPCS J0153

Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds)

Rates data updated October 2026.

How much does Adenosine Injection, 1 mg cost?

$0.50

Typical negotiated rate. In North Carolina, October 2026.

Insurers have agreed to pay about $0.50 for this service. The price depends on where it is billed: about $0.48 from a physician practice, and about $0.52 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$0.48$0.44 to $0.50
FacilityA hospital or hospital-owned outpatient department$0.52$0.50 to $0.65

How much rates vary

Facilitymedian $1 · 10th to 90th $0 to $1Professionalmedian $0 · 10th to 90th $0 to $1
$0.5$1$2facility $1professional $0

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$0.50
Median
$0.52
Typical High
$0.83
Aetna
Setting
Professional
Modifier
None
Typical Low
$0.41
Median
$0.50
Typical High
$0.54
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$0.21
Median
$0.25
Typical High
$0.25
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.08
Median
$0.10
Typical High
$0.10
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.06
Median
$0.08
Typical High
$0.08
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.04
Median
$0.05
Typical High
$0.05
BCBS North Carolina
Setting
Professional
Modifier
None
Typical Low
$0.48
Median
$0.72
Typical High
$0.72
Cigna
Setting
Facility
Modifier
None
Typical Low
$0.44
Median
$0.59
Typical High
$0.83
Cigna
Setting
Professional
Modifier
None
Typical Low
$0.39
Median
$0.39
Typical High
$2.40
Medcost
Setting
Facility
Modifier
None
Typical Low
$0.46
Median
$0.46
Typical High
$0.50
Medcost
Setting
Professional
Modifier
None
Typical Low
$0.85
Median
$0.85
Typical High
$0.85
United
Setting
Professional
Modifier
None
Typical Low
$0.48
Median
$0.48
Typical High
$0.74

Where North Carolina sits

The same service costs 5.2 times more in Wyoming than in Georgia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

North Carolina· 10th of 51

$0.50

WY $2.04GA $0.39

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.