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Risperidone (Risperdal Consta) Injection

Illinois rates for HCPCS J2794

Injection, risperidone (RISPERDAL CONSTA), 0.5 mg

Rates data updated July 2026.

How much does Risperidone (Risperdal Consta) Injection cost?

$11.22per 0.5 mg

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $11.22 for each 0.5 mg of this drug. The price depends on where it is billed: about $10.96 from a physician practice, and about $16.60 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 0.5 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$10.96
At a hospital outpatient department
$16.60

The same drug, in the same amount, costs 51% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$10.96$10.72 to $14.13
FacilityA hospital or hospital-owned outpatient department$16.60$10.72 to $19.05

How much rates vary

Facilitymedian $17 · 10th to 90th $11 to $26Professionalmedian $11 · 10th to 90th $11 to $19
$10$20$50$100facility $17professional $11

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
$10.72
Median
$16.60
Typical High
$21.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$19.05
BCBS
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$23.99
Typical High
$120.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$19.95
Typical High
$25.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$10.72
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$15.85
Typical High
$100.00
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$14.13
United
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$17.78
United
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$11.75

Where Illinois sits

The same service costs 2.8 times more in Delaware than in Georgia. 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.

Illinois· 31st of 51

$11.22

DE $30.20GA $10.72

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.