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Nusinersen Injection

Pennsylvania rates for HCPCS J2326 · Spinraza

Injection, nusinersen, 0.1 mg

Rates data updated July 2026.

How much does Spinraza (nusinersen) cost?

$1,288per 0.1 mg

Typical negotiated rate. In Pennsylvania, July 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 $1,905 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
$1,288
At a hospital outpatient department
$1,905

The same drug, in the same amount, costs 48% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,288$1,288 to $1,288
FacilityA hospital or hospital-owned outpatient department$1,905$1,288 to $3,311

How much rates vary

Facilitymedian $1,905 · 10th to 90th $1,259 to $4,467Professionalmedian $1,288 · 10th to 90th $1,288 to $1,288
$1K$2K$5K$10K$20K$50K$100Kfacility $1,905professional $1,288

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
$1,288.25
Median
$1,905.46
Typical High
$3,801.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,288.25
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,258.93
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$4,466.84
Typical High
$5,370.32
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,288.25
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$134,896.29
Median
$134,896.29
Typical High
$134,896.29
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,230.27
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,949.84
Typical High
$3,630.78
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$3,311.31
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$2,398.83
Typical High
$3,548.13
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,288.25
United
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,737.80

Where Pennsylvania 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.

Pennsylvania· 21st of 51

$1,288

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.