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Ustekinumab Intravenous Injection

North Carolina rates for HCPCS J3358 · Stelara

Ustekinumab, for intravenous injection, 1 mg

Rates data updated October 2026.

How much does Stelara (ustekinumab) cost?

$12.30per mg

Typical negotiated rate. In North Carolina, October 2026.

Insurers have agreed to pay about $12.30 for each mg of this drug. The price depends on where it is billed: about $12.30 from a physician practice, and about $16.60 from a hospital or other facility.

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
$12.30
At a hospital outpatient department
$16.60

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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$12.30$11.75 to $12.88
FacilityA hospital or hospital-owned outpatient department$16.60$12.88 to $22.91

How much rates vary

Facilitymedian $17 · 10th to 90th $12 to $24Professionalmedian $12 · 10th to 90th $11 to $16
$10$20facility $17professional $12

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$12.30
Median
$12.30
Typical High
$17.78
Aetna
Setting
Professional
Modifier
None
Typical Low
$11.75
Median
$12.30
Typical High
$15.49
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$5.89
Median
$6.17
Typical High
$6.17
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$2.34
Median
$2.45
Typical High
$2.45
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$1.78
Median
$1.82
Typical High
$1.82
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$1.17
Median
$1.23
Typical High
$1.23
BCBS North Carolina
Setting
Facility
Modifier
None
Typical Low
$12.88
Median
$19.05
Typical High
$23.99
BCBS North Carolina
Setting
Professional
Modifier
None
Typical Low
$12.30
Median
$13.49
Typical High
$13.49
Cigna
Setting
Facility
Modifier
None
Typical Low
$12.88
Median
$16.98
Typical High
$23.99
Cigna
Setting
Professional
Modifier
None
Typical Low
$11.48
Median
$11.48
Typical High
$16.60
Medcost
Setting
Facility
Modifier
None
Typical Low
$12.30
Median
$12.30
Typical High
$13.49
Medcost
Setting
Professional
Modifier
None
Typical Low
$12.88
Median
$12.88
Typical High
$12.88
United
Setting
Professional
Modifier
None
Typical Low
$11.75
Median
$11.75
Typical High
$17.38

Where North Carolina sits

The same service costs 1.8 times more in Alaska 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.

North Carolina· 31st of 51

$12.30

AK $20.89GA $11.48

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.