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Ziconotide Injection

New Jersey rates for HCPCS J2278 · Prialt

Injection, ziconotide, 1 mcg

Rates data updated July 2026.

How much does Prialt (ziconotide acetate) cost?

$10.47per mcg

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $10.47 for each mcg of this drug. The price depends on where it is billed: about $10.47 from a physician practice, and about $16.98 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 mcg. Enter the amount given to see what insurers have agreed to pay for it.

mcg
In a doctor's office or clinic
$10.47
At a hospital outpatient department
$16.98

The same drug, in the same amount, costs 62% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 4 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$10.47$10.47 to $11.48
FacilityA hospital or hospital-owned outpatient department$16.98$15.49 to $28.84

How much rates vary

Facilitymedian $17 · 10th to 90th $12 to $7,586Professionalmedian $10 · 10th to 90th $10 to $16
$10$100$1K$10Kfacility $17professional $10

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
$13.49
Median
$16.60
Typical High
$28.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$10.47
Typical High
$16.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$11.75
Typical High
$15.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$10.47
Typical High
$14.45
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$9.77
Typical High
$10.23
United
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$12.88
Typical High
$20.42
United
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$10.47
Typical High
$12.88

Where New Jersey sits

The same service costs 2.1 times more in Delaware than in New Hampshire. 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.

New Jersey· 41st of 51

$10.47

DE $22.39NH $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.