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Nusinersen Injection

Wisconsin rates for HCPCS J2326 · Spinraza

Injection, nusinersen, 0.1 mg

Rates data updated October 2026.

How much does Spinraza (nusinersen) cost?

$1,514per 0.1 mg

Typical negotiated rate. In Wisconsin, October 2026.

Insurers have agreed to pay about $1,514 for each 0.1 mg of this drug. The price depends on where it is billed: about $1,445 from a physician practice, and about $1,698 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
$1,445
At a hospital outpatient department
$1,698

The same drug, in the same amount, costs 17% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,445$1,230 to $1,585
FacilityA hospital or hospital-owned outpatient department$1,698$1,259 to $2,692

How much rates vary

Facilitymedian $1,698 · 10th to 90th $1,202 to $3,890Professionalmedian $1,445 · 10th to 90th $1,202 to $2,089
$1K$2Kfacility $1,698professional $1,445

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
$1,202.26
Median
$1,202.26
Typical High
$2,691.53
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$2,089.30
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$602.56
Median
$602.56
Typical High
$1,047.13
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$245.47
Median
$245.47
Typical High
$416.87
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$181.97
Median
$181.97
Typical High
$316.23
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$120.23
Median
$120.23
Typical High
$208.93
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$2,398.83
Median
$2,570.40
Typical High
$2,884.03
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,288.25
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,318.26
Median
$2,344.23
Typical High
$3,890.45
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,148.15
Median
$1,288.25
Typical High
$1,380.38
DeanCare
Setting
Facility
Modifier
None
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,479.11
Medica
Setting
Facility
Modifier
None
Typical Low
$1,174.90
Median
$1,258.93
Typical High
$1,479.11
Medica
Setting
Professional
Modifier
None
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,659.59
Network Health
Setting
Facility
Modifier
None
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,174.90
Prevea360
Setting
Facility
Modifier
None
Typical Low
$1,174.90
Median
$1,479.11
Typical High
$1,479.11
Quartz
Setting
Facility
Modifier
None
Typical Low
$1,513.56
Median
$3,890.45
Typical High
$3,890.45
Quartz
Setting
Professional
Modifier
None
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,288.25
United
Setting
Facility
Modifier
None
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,318.26
United
Setting
Professional
Modifier
None
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$2,089.30

Where Wisconsin 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.

Wisconsin· 16th of 51

$1,514

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.