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Nusinersen Injection

New York rates for HCPCS J2326 · Spinraza

Injection, nusinersen, 0.1 mg

Rates data updated July 2026.

How much does Spinraza (nusinersen) cost?

$1,259per 0.1 mg

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $1,259 for each 0.1 mg of this drug. The price depends on where it is billed: about $1,259 from a physician practice, and about $1,288 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 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
$1,259
At a hospital outpatient department
$1,288

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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 9 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$1,259$1,202 to $1,259
FacilityA hospital or hospital-owned outpatient department$1,288$1,202 to $1,413

How much rates vary

Facilitymedian $1,288 · 10th to 90th $1,202 to $2,239Professionalmedian $1,259 · 10th to 90th $1,122 to $1,288
$1K$2K$5Kfacility $1,288professional $1,259

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
$1,202.26
Median
$1,348.96
Typical High
$3,019.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,202.26
Typical High
$1,288.25
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,348.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,174.90
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,071.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,949.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$6,760.83
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$2,238.72
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,479.11
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,288.25
Typical High
$1,348.96
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,288.25
Typical High
$1,288.25
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$50,118.72
Typical High
$75,857.76
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$2,137.96
United
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,258.93
Typical High
$1,548.82
Univera
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,288.25
Typical High
$1,380.38
Univera
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,288.25
Typical High
$1,548.82

Where New York sits

The same service costs 1.8 times more in Colorado than in Oklahoma. 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 York· 35th of 51

$1,259

CO $2,188OK $1,230

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.