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Ziconotide Injection

Texas 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 Texas, 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 $10.72 from a physician practice, and about $15.14 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
$15.14

The same drug, in the same amount, costs 41% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 8 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 $10.72
FacilityA hospital or hospital-owned outpatient department$15.14$10.72 to $21.38

How much rates vary

Facilitymedian $15 · 10th to 90th $7 to $30Professionalmedian $11 · 10th to 90th $10 to $11
$5$10$20$50facility $15professional $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
$10.72
Median
$16.60
Typical High
$22.91
Aetna
Setting
Professional
Modifier
None
Typical Low
$10.72
Median
$10.96
Typical High
$11.75
BCBS Texas
Setting
Facility
Modifier
None
Typical Low
$6.03
Median
$15.14
Typical High
$28.18
BCBS Texas
Setting
Professional
Modifier
None
Typical Low
$11.48
Median
$11.48
Typical High
$11.48
Cigna
Setting
Facility
Modifier
None
Typical Low
$10.72
Median
$20.42
Typical High
$34.67
Cigna
Setting
Professional
Modifier
None
Typical Low
$10.72
Median
$10.72
Typical High
$10.72
Moda Health
Setting
Facility
Modifier
None
Typical Low
$8.91
Median
$11.48
Typical High
$21.88
Moda Health
Setting
Professional
Modifier
None
Typical Low
$10.47
Median
$10.47
Typical High
$11.48
Molina
Setting
Professional
Modifier
None
Typical Low
$10.23
Median
$10.23
Typical High
$10.23
Providence
Setting
Facility
Modifier
None
Typical Low
$8.71
Median
$12.88
Typical High
$93.33
Providence
Setting
Professional
Modifier
None
Typical Low
$10.72
Median
$10.72
Typical High
$10.72
United
Setting
Facility
Modifier
None
Typical Low
$10.72
Median
$10.72
Typical High
$10.72
United
Setting
Professional
Modifier
None
Typical Low
$10.47
Median
$10.47
Typical High
$10.47
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$10.47
Median
$10.47
Typical High
$10.47

Where Texas 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.

Texas· 8th 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.