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Sincalide Injection

North Carolina rates for HCPCS J2805

Injection, sincalide, 5 mcg

Rates data updated July 2026.

How much does Sincalide Injection cost?

$132per 5 mcg

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $132 for each 5 mcg of this drug. The price depends on where it is billed: about $117 from a physician practice, and about $158 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 5 mcg. Enter the amount given to see what insurers have agreed to pay for it.

mcg
In a doctor's office or clinic
$117
At a hospital outpatient department
$158

The same drug, in the same amount, costs 35% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 6 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$117$117 to $132
FacilityA hospital or hospital-owned outpatient department$158$110 to $263

How much rates vary

Facilitymedian $158 · 10th to 90th $93 to $447Professionalmedian $117 · 10th to 90th $107 to $229
$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $158professional $117

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
$91.20
Median
$151.36
Typical High
$446.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$120.23
Typical High
$229.09
BCBS
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$239.88
Typical High
$323.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$109.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$162.18
Typical High
$257.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$154.88
Medcost
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$117.49
Typical High
$138.04
United
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$177.83
Typical High
$204.17
United
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$144.54
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$489.78

Where North Carolina sits

The same service costs 3.0 times more in West Virginia than in Georgia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

North Carolina $132 · 28th of 51
WV $316GA $107

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.