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Risperidone (Risperdal Consta) Injection

Montana rates for HCPCS J2794

Injection, risperidone (RISPERDAL CONSTA), 0.5 mg

Rates data updated July 2026.

How much does Risperidone (Risperdal Consta) Injection cost?

$12.88per 0.5 mg

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $12.88 for each 0.5 mg of this drug. The price depends on where it is billed: about $13.18 from a physician practice, and about $12.88 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
$13.18
At a hospital outpatient department
$12.88

The same drug, in the same amount, costs 2% less 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$13.18$11.75 to $23.44
FacilityA hospital or hospital-owned outpatient department$12.88$12.30 to $16.22

How much rates vary

Facilitymedian $13 · 10th to 90th $6 to $37Professionalmedian $13 · 10th to 90th $11 to $34
$10$20$50facility $13professional $13

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
Professional
Modifier
Global
Typical Low
$11.75
Median
$13.18
Typical High
$33.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$30.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$12.02
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$6.46
Median
$12.88
Typical High
$37.15
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$12.88
Typical High
$37.15
Providence
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$30.90
Providence
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$15.14
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$11.22

Where Montana 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.

Montana· 10th of 51

$12.88

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.