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Ustekinumab Intravenous Injection

North Carolina rates for HCPCS J3358 · Stelara

Ustekinumab, for intravenous injection, 1 mg

Rates data updated July 2026.

How much does Stelara (ustekinumab) cost?

$14.13per mg

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $14.13 for each mg of this drug. The price depends on where it is billed: about $13.80 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 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$13.80
At a hospital outpatient department
$22.39

The same drug, in the same amount, costs 62% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$13.80$12.30 to $20.89
FacilityA hospital or hospital-owned outpatient department$22.39$14.13 to $36.31

How much rates vary

Facilitymedian $22 · 10th to 90th $12 to $36Professionalmedian $14 · 10th to 90th $12 to $25
$20$50facility $22professional $14

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
$12.30
Median
$22.39
Typical High
$36.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$13.80
Typical High
$36.31
BCBS
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$24.55
Typical High
$27.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$13.49
Typical High
$13.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$17.38
Typical High
$27.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$16.60
Medcost
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$12.59
Typical High
$14.79
United
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$19.05
Typical High
$22.91
United
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$17.38
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11

Where North Carolina sits

The same service costs 2.7 times more in Delaware than in North Dakota. 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.

North Carolina· 17th of 51

$14.13

DE $31.62ND $11.75

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.