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Ziconotide Injection

Illinois rates for HCPCS J2278 · Prialt

Injection, ziconotide, 1 mcg

Rates data updated October 2026.

How much does Prialt (ziconotide acetate) cost?

$10.72per mcg

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $10.72 for each mcg of this drug. The price depends on where it is billed: about $10.72 from a physician practice, and about $21.38 from a hospital or other facility.

Work out the cost of a dose

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

mcg
In a doctor's office or clinic
$10.72
At a hospital outpatient department
$21.38

The same drug, in the same amount, costs 100% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$10.72$10.47 to $10.96
FacilityA hospital or hospital-owned outpatient department$21.38$14.79 to $30.90

How much rates vary

Facilitymedian $21 · 10th to 90th $11 to $42Professionalmedian $11 · 10th to 90th $10 to $16
$10$20$50$100facility $21professional $11

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
$9.12
Median
$10.72
Typical High
$38.90
Aetna
Setting
Professional
Modifier
None
Typical Low
$10.72
Median
$10.72
Typical High
$10.72
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$13.49
Median
$22.39
Typical High
$45.71
Cigna
Setting
Facility
Modifier
None
Typical Low
$14.45
Median
$21.38
Typical High
$25.70
Cigna
Setting
Professional
Modifier
None
Typical Low
$10.72
Median
$10.72
Typical High
$10.72
Hally Health
Setting
Professional
Modifier
None
Typical Low
$10.23
Median
$12.30
Typical High
$18.20
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$13.18
Median
$13.18
Typical High
$13.18
United
Setting
Facility
Modifier
None
Typical Low
$10.72
Median
$10.72
Typical High
$24.55
United
Setting
Professional
Modifier
None
Typical Low
$10.47
Median
$10.47
Typical High
$11.22

Where Illinois sits

The same service costs 1.9 times more in Alaska than in Iowa. 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.

Illinois· 41st of 51

$10.72

AK $19.50IA $10.47

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.