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Hydroxyprogesterone Caproate (Makena) Injection

Kentucky rates for HCPCS J1726

Injection, hydroxyprogesterone caproate, (Makena), 10 mg

Rates data updated July 2026.

How much does Hydroxyprogesterone Caproate (Makena) Injection cost?

$34.67per 10 mg

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $34.67 for each 10 mg of this drug. The price depends on where it is billed: about $19.50 from a physician practice, and about $36.31 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 10 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$19.50
At a hospital outpatient department
$36.31

The same drug, in the same amount, costs 86% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 5 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$19.50$19.50 to $28.84
FacilityA hospital or hospital-owned outpatient department$36.31$34.67 to $36.31

How much rates vary

Facilitymedian $36 · 10th to 90th $19 to $36Professionalmedian $19 · 10th to 90th $19 to $29
$0.1$1$10$100facility $36professional $19

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
$19.50
Median
$19.50
Typical High
$41.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$19.95
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.03
Median
$36.31
Typical High
$36.31
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$28.84
Typical High
$28.84
CareSource
Setting
Facility
Modifier
Global
Typical Low
$41,686.94
Median
$52,480.75
Typical High
$63,095.73
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
United
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$19.50

Where Kentucky sits

The same service costs 1.8 times more in Kentucky than in Indiana. 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.

Kentucky· 1st of 51

$34.67

KY $34.67IN $19.50

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.