go back

California rates for HCPCS J2794

Injection, risperidone (RISPERDAL CONSTA), 0.5 mg

Facilitymedian $14 · 10th–90th $11$300%20%10th90th$14Professionalmedian $11 · 10th–90th $11$250%20%40%10th90th$11$5.0$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$23.44
Typical High
$38.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$10.96
Typical High
$23.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$13.18
Typical High
$26.30
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$11.22
Typical High
$23.44
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$12.02
Typical High
$17.38
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$14.45
Typical High
$33.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$18.62
Typical High
$25.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$10.72
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$12.30
Typical High
$25.12
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$10.96
Typical High
$10.96
Providence
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$16.22
Typical High
$26.92
Providence
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$14.45
Sutter Health Plus
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
The Alliance
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$11.75
Typical High
$18.20
United
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$33.88
Typical High
$33.88
United
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$27.54