How much does Spinraza (nusinersen) cost?

$1,288per 0.1 mg

Typical negotiated rate. In Washington, DC, October 2026.

Insurers have agreed to pay about $1,288 for each 0.1 mg of this drug. The price depends on where it is billed: about $1,288 from a physician practice, and about $1,950 from a hospital or other facility.

Work out the cost of a dose

This drug is priced per 0.1 mg. Enter the amount given to see what insurers have agreed to pay for it.

Amount givenmg

In a doctor's office or clinic: $1,288
At a hospital outpatient department: $1,950

The same drug, in the same amount, costs 51% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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.

Prices by location type

Billed by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$1,288	$1,202 to $1,514
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$1,950	$1,318 to $2,884

How much rates vary

Facilitymedian $1,950 · 10th to 90th $1,288 to $3,090Professionalmedian $1,288 · 10th to 90th $1,202 to $2,291

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $3,090.30	Facility	None	$1,288.25	$1,288.25	$3,090.30
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25	Professional	None	$1,288.25	$1,288.25	$1,288.25
CareFirst Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26	Professional	None	$1,202.26	$1,202.26	$1,202.26
Cigna Setting Facility Modifier None Typical Low $1,949.84 Median $2,398.83 Typical High $3,548.13	Facility	None	$1,949.84	$2,398.83	$3,548.13
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25	Professional	None	$1,288.25	$1,288.25	$1,288.25
United Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26	Facility	None	$1,318.26	$1,318.26	$1,318.26
United Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $2,570.40	Professional	None	$1,513.56	$1,513.56	$2,570.40

Where Washington, DC sits

The same service costs 1.8 times more in Alaska than in Hawaii. 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.

Washington, DC· 41st of 51

$1,288

AK $2,042HI $1,148

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.