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Risperidone (Risperdal Consta) Injection

Ohio rates for HCPCS J2794

Injection, risperidone (RISPERDAL CONSTA), 0.5 mg

Rates data updated July 2026.

How much does Risperidone (Risperdal Consta) Injection cost?

$13.80per 0.5 mg

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $13.80 for each 0.5 mg of this drug. The price depends on where it is billed: about $11.22 from a physician practice, and about $22.39 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
$11.22
At a hospital outpatient department
$22.39

The same drug, in the same amount, costs 100% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$11.22$10.72 to $14.13
FacilityA hospital or hospital-owned outpatient department$22.39$14.13 to $26.92

How much rates vary

Facilitymedian $22 · 10th to 90th $11 to $33Professionalmedian $11 · 10th to 90th $11 to $23
$0.1$0.5$2.0$10.0$50.0facility $22professional $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
$23.44
Typical High
$30.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$11.22
Typical High
$23.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$19.95
Typical High
$56.23
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$12.59
Typical High
$19.50
CareSource
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$10.96
Typical High
$10.96
CareSource
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$14.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$22.91
Typical High
$35.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$12.88
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$22.91
Typical High
$33.11
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$10.72
Molina
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$14.13
Typical High
$15.85
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$18.20
Typical High
$25.12
United
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$23.44
United
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$12.02

Where Ohio sits

The same service costs 2.8 times more in Delaware than in Georgia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Ohio $13.80 · 8th of 51
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.