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Ustekinumab Intravenous Injection

South Carolina rates for HCPCS J3358 · Stelara

Ustekinumab, for intravenous injection, 1 mg

Rates data updated July 2026.

How much does Stelara (ustekinumab) cost?

$12.30per mg

Typical negotiated rate. In South Carolina, July 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 $18.20 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
$12.30
At a hospital outpatient department
$18.20

The same drug, in the same amount, costs 48% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$12.30$12.30 to $12.59
FacilityA hospital or hospital-owned outpatient department$18.20$12.30 to $27.54

How much rates vary

Facilitymedian $18 · 10th to 90th $12 to $45Professionalmedian $12 · 10th to 90th $12 to $17
$10$20$50facility $18professional $12

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
$18.20
Typical High
$48.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$16.22
BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$19.95
Typical High
$34.67
BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$14.79
Typical High
$17.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$16.60
Typical High
$29.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$11.75
Medcost
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$15.85
Typical High
$37.15
United
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$11.75
Typical High
$19.05
United
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$13.80

Where South 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.

South Carolina· 35th of 51

$12.30

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.