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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 July 2026.

How much does Adenosine Injection, 1 mg cost?

$1.74

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $1.74 for this service. The price depends on where it is billed: about $0.52 from a physician practice, and about $3.02 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$0.52$0.50 to $1.00
FacilityA hospital or hospital-owned outpatient department$3.02$1.02 to $5.62

How much rates vary

Facilitymedian $3 · 10th to 90th $1 to $11Professionalmedian $1 · 10th to 90th $0 to $2
$1$10$100$1Kfacility $3professional $1

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$0.62
Median
$3.02
Typical High
$11.22
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.48
Median
$0.52
Typical High
$2.04
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1.07
Median
$3.09
Typical High
$3.72
BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.52
Median
$0.72
Typical High
$0.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.54
Median
$0.72
Typical High
$1.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.48
Median
$0.48
Typical High
$2.40
Medcost
Setting
Facility
Modifier
Global
Typical Low
$0.50
Median
$0.52
Typical High
$0.60
United
Setting
Facility
Modifier
Global
Typical Low
$0.59
Median
$0.79
Typical High
$0.98
United
Setting
Professional
Modifier
Global
Typical Low
$0.52
Median
$0.52
Typical High
$0.72
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$100.00

Where North Carolina sits

The same service costs 9.1 times more in Utah than in North Dakota. 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· 5th of 51

$1.74

UT $4.37ND $0.48

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.