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Nusinersen Injection

North Carolina rates for HCPCS J2326 · Spinraza

Injection, nusinersen, 0.1 mg

Rates data updated October 2026.

How much does Spinraza (nusinersen) cost?

$1,288per 0.1 mg

Typical negotiated rate. In North Carolina, 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 $1,445 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.

mg
In a doctor's office or clinic
$1,288
At a hospital outpatient department
$1,445

The same drug, in the same amount, costs 12% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$1,288$1,122 to $1,514
FacilityA hospital or hospital-owned outpatient department$1,445$1,202 to $1,950

How much rates vary

Facilitymedian $1,445 · 10th to 90th $1,122 to $2,692Professionalmedian $1,288 · 10th to 90th $1,122 to $1,514
$1K$2Kfacility $1,445professional $1,288

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
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,621.81
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,288.25
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$562.34
Median
$562.34
Typical High
$630.96
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$229.09
Median
$229.09
Typical High
$251.19
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$169.82
Median
$169.82
Typical High
$190.55
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$112.20
Median
$112.20
Typical High
$125.89
BCBS North Carolina
Setting
Professional
Modifier
None
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,071.52
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,445.44
Median
$1,621.81
Typical High
$2,884.03
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,479.11
Medcost
Setting
Facility
Modifier
None
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,202.26
Medcost
Setting
Professional
Modifier
None
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,174.90
United
Setting
Professional
Modifier
None
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,995.26

Where North Carolina 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.

North Carolina· 40th 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.