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Ziprasidone Injection

North Carolina rates for HCPCS J3486

Injection, ziprasidone mesylate, 10 mg

Rates data updated July 2026.

How much does Ziprasidone Injection cost?

$12.30per 10 mg

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $12.30 for each 10 mg of this drug. The price depends on where it is billed: about $10.00 from a physician practice, and about $19.50 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 10 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$10.00
At a hospital outpatient department
$19.50

The same drug, in the same amount, costs 95% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$10.00$9.55 to $16.60
FacilityA hospital or hospital-owned outpatient department$19.50$10.47 to $60.26

How much rates vary

Facilitymedian $19 · 10th to 90th $10 to $95Professionalmedian $10 · 10th to 90th $7 to $27
$10.0$20.0$50.0$100.0$200.0facility $19professional $10

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
$9.55
Median
$19.50
Typical High
$95.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$10.00
Typical High
$28.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$27.54
Typical High
$37.15
BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$22.91
Typical High
$22.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.61
Median
$8.71
Typical High
$13.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$19.50
Medcost
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$9.12
Typical High
$12.02
United
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$9.77
Typical High
$16.98
United
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$9.12
Typical High
$12.02
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00

Where North Carolina sits

The same service costs 4.2 times more in Delaware than in Georgia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

North Carolina $12.30 · 8th of 51
DE $24.55GA $5.89

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.