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Onasemnogene Abeparvovec-xioi Injection

New York rates for HCPCS J3399 · Zolgensma

Injection, onasemnogene abeparvovec-xioi, per treatment, up to 5x10^15 vector genomes

Rates data updated July 2026.

How much does Zolgensma (onasemnogene abeparvovec-xioi) cost?

$2,570,396

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $2,570,396 for this service. The price depends on where it is billed: about $2,570,396 from a physician practice, and about $2,691,535 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 7 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$2,570,396$2,570,396 to $2,570,396
FacilityA hospital or hospital-owned outpatient department$2,691,535$2,570,396 to $2,691,535

How much rates vary

Facilitymedian $2,691,535 · 10th to 90th $2,511,886 to $3,162,278Professionalmedian $2,570,396 · 10th to 90th $2,511,886 to $2,570,396
$100$1K$10K$100K$1M$10Mfacility $2,691,535professional $2,570,396

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
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,570,395.78
Median
$2,570,395.78
Typical High
$2,570,395.78
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$2,137,962.09
Median
$2,137,962.09
Typical High
$2,344,228.82
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$2,137,962.09
Median
$2,137,962.09
Typical High
$2,137,962.09
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$2,570,395.78
Median
$2,570,395.78
Typical High
$4,466,835.92
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$2,570,395.78
Median
$2,570,395.78
Typical High
$2,951,209.23
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,511,886.43
Median
$2,691,534.80
Typical High
$2,818,382.93
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,511,886.43
Median
$2,691,534.80
Typical High
$2,691,534.80
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$53,703.18
Typical High
$5,248,074.60
United
Setting
Facility
Modifier
Global
Typical Low
$2,570,395.78
Median
$2,570,395.78
Typical High
$4,265,795.19
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$2,344,228.82
Typical High
$2,951,209.23
Univera
Setting
Facility
Modifier
Global
Typical Low
$2,511,886.43
Median
$2,691,534.80
Typical High
$2,884,031.50
Univera
Setting
Professional
Modifier
Global
Typical Low
$2,511,886.43
Median
$2,691,534.80
Typical High
$3,162,277.66

Where New York sits

The same service costs 204173794.5 times more in Michigan than in Colorado. 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.

New York· 16th of 49

$2,570,396

MI $4,073,803CO $0.02

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.