go back

Cerliponase Alfa Injection

Texas rates for HCPCS J0567 · Brineura

Injection, cerliponase alfa, 1 mg

Rates data updated July 2026.

How much does Brineura (cerliponase alfa) cost?

$117per mg

Typical negotiated rate. In Texas, July 2026.

Insurers have agreed to pay about $117 for each mg of this drug. The price depends on where it is billed: about $117 from a physician practice, and about $195 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$117
At a hospital outpatient department
$195

The same drug, in the same amount, costs 66% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

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 9 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$117$117 to $120
FacilityA hospital or hospital-owned outpatient department$195$117 to $275

How much rates vary

Facilitymedian $195 · 10th to 90th $107 to $398Professionalmedian $117 · 10th to 90th $115 to $148
$100$200$500facility $195professional $117

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
$114.82
Median
$147.91
Typical High
$275.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$117.49
Typical High
$158.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$213.80
Typical High
$416.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$295.12
Typical High
$831.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$141.25
Typical High
$165.96
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$120.23
Typical High
$120.23
Molina
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$120.23
Providence
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$162.18
Typical High
$389.05
Providence
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
United
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$199.53
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$151.36

Where Texas sits

The same service costs 1.7 times more in Colorado than in Kentucky. 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.

Texas· 46th of 51

$117

CO $200KY $115

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.