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Netupitant and Palonosetron, Oral

North Carolina rates for HCPCS J8655 · Akynzeo

Netupitant 300 mg and palonosetron 0.5 mg, oral

Rates data updated July 2026.

How much does Akynzeo (netupitant and palonosetron) cost?

$398

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $398 for this service. The price depends on where it is billed: about $398 from a physician practice, and about $513 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 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$398$380 to $447
FacilityA hospital or hospital-owned outpatient department$513$427 to $708

How much rates vary

Facilitymedian $513 · 10th to 90th $380 to $832Professionalmedian $398 · 10th to 90th $363 to $794
$100.0$200.0$500.0$1.0K$2.0Kfacility $513professional $398

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
$446.68
Median
$602.56
Typical High
$776.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$446.68
Typical High
$707.95
BCBS
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$1,479.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$380.19
Typical High
$794.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$602.56
Typical High
$933.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$562.34
Medcost
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$457.09
Typical High
$831.76
Medcost
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$630.96
Typical High
$707.95
United
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$407.38
Typical High
$426.58
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,089.30

Where North Carolina sits

Rates are fairly even across states for this service. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

North Carolina $398 · 37th of 51
IA $437CO $398

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.