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Ziprasidone Injection

North Carolina rates for HCPCS J3486 · Geodon

Injection, ziprasidone mesylate, 10 mg

Rates data updated October 2026.

How much does Ziprasidone Injection cost?

$7.76per 10 mg

Typical negotiated rate. In North Carolina, October 2026.

Insurers have agreed to pay about $7.76 for each 10 mg of this drug. The price depends on where it is billed: about $5.89 from a physician practice, and about $10.00 from a hospital or other facility.

Work out the cost of a dose

This drug is priced per 10 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$5.89
At a hospital outpatient department
$10.00

The same drug, in the same amount, costs 70% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$5.89$5.89 to $10.00
FacilityA hospital or hospital-owned outpatient department$10.00$7.59 to $10.72

How much rates vary

Facilitymedian $10 · 10th to 90th $6 to $13Professionalmedian $6 · 10th to 90th $6 to $19
$10$20facility $10professional $6

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
$9.12
Median
$10.00
Typical High
$18.20
Aetna
Setting
Professional
Modifier
None
Typical Low
$5.89
Median
$10.00
Typical High
$10.00
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$2.95
Median
$5.01
Typical High
$5.01
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$1.17
Median
$2.04
Typical High
$2.04
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.87
Median
$1.51
Typical High
$1.51
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.58
Median
$1.00
Typical High
$1.00
BCBS North Carolina
Setting
Professional
Modifier
None
Typical Low
$5.89
Median
$22.91
Typical High
$22.91
Cigna
Setting
Facility
Modifier
None
Typical Low
$6.31
Median
$8.32
Typical High
$11.75
Cigna
Setting
Professional
Modifier
None
Typical Low
$5.62
Median
$5.62
Typical High
$19.50
Medcost
Setting
Facility
Modifier
None
Typical Low
$6.61
Median
$6.61
Typical High
$10.23
Medcost
Setting
Professional
Modifier
None
Typical Low
$5.89
Median
$5.89
Typical High
$5.89
United
Setting
Professional
Modifier
None
Typical Low
$5.89
Median
$5.89
Typical High
$8.13

Where North Carolina sits

The same service costs 3.2 times more in Oklahoma 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· 7th of 51

$7.76

OK $17.78ND $5.62

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.