go back

Ziconotide Injection

South Carolina rates for HCPCS J2278 · Prialt

Injection, ziconotide, 1 mcg

Rates data updated October 2026.

How much does Prialt (ziconotide acetate) cost?

$12.30per mcg

Typical negotiated rate. In South Carolina, October 2026.

Insurers have agreed to pay about $12.30 for each mcg of this drug. The price depends on where it is billed: about $12.02 from a physician practice, and about $12.30 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
$12.02
At a hospital outpatient department
$12.30

The same drug, in the same amount, costs 2% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$12.02$10.72 to $14.45
FacilityA hospital or hospital-owned outpatient department$12.30$12.30 to $18.62

How much rates vary

Facilitymedian $12 · 10th to 90th $9 to $24Professionalmedian $12 · 10th to 90th $10 to $14
$2$5$10$20facility $12professional $12

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
$11.22
Median
$11.22
Typical High
$11.22
Aetna
Setting
Professional
Modifier
None
Typical Low
$9.12
Median
$11.22
Typical High
$11.22
BCBS South Carolina
Setting
Facility
Modifier
None
Typical Low
$8.51
Median
$12.30
Typical High
$22.39
BCBS South Carolina
Setting
Professional
Modifier
None
Typical Low
$10.72
Median
$12.59
Typical High
$14.45
Cigna
Setting
Facility
Modifier
None
Typical Low
$12.30
Median
$18.62
Typical High
$26.30
Cigna
Setting
Professional
Modifier
None
Typical Low
$10.72
Median
$10.72
Typical High
$10.72
Medcost
Setting
Facility
Modifier
None
Typical Low
$7.94
Median
$13.80
Typical High
$27.54
Medcost
Setting
Professional
Modifier
None
Typical Low
$8.32
Median
$8.32
Typical High
$8.32
United
Setting
Facility
Modifier
None
Typical Low
$10.72
Median
$10.72
Typical High
$23.44
United
Setting
Professional
Modifier
None
Typical Low
$10.47
Median
$10.47
Typical High
$11.48

Where South Carolina 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.

South Carolina· 6th of 51

$12.30

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.