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Cromolyn Inhalation Solution

North Carolina rates for HCPCS J7631

Cromolyn sodium, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, per 10 mg

Rates data updated July 2026.

How much does Cromolyn Inhalation Solution cost?

$1.15per 10 mg

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $1.15 for each 10 mg of this drug. The price depends on where it is billed: about $1.15 from a physician practice, and about $1.23 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
$1.15
At a hospital outpatient department
$1.23

The same drug, in the same amount, costs 7% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$1.15$1.15 to $1.23
FacilityA hospital or hospital-owned outpatient department$1.23$0.95 to $2.82

How much rates vary

Facilitymedian $1 · 10th to 90th $0 to $5Professionalmedian $1 · 10th to 90th $1 to $3
$0.5$2$10$50facility $1professional $1

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
$0.48
Median
$1.23
Typical High
$5.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.81
Median
$1.15
Typical High
$2.82
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1.38
Median
$1.66
Typical High
$6.92
BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.91
Median
$3.31
Typical High
$8.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.85
Median
$1.23
Typical High
$1.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.81
Median
$0.81
Typical High
$2.82
Medcost
Setting
Facility
Modifier
Global
Typical Low
$0.91
Median
$1.00
Typical High
$1.38
Medcost
Setting
Professional
Modifier
Global
Typical Low
$0.81
Median
$0.93
Typical High
$1.05
United
Setting
Facility
Modifier
Global
Typical Low
$0.36
Median
$0.91
Typical High
$1.70
United
Setting
Professional
Modifier
Global
Typical Low
$0.36
Median
$0.91
Typical High
$0.91
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00

Where North Carolina sits

The same service costs 1.6 times more in Hawaii than in Tennessee. 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· 2nd of 51

$1.15

HI $1.32TN $0.81

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.