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Pentostatin Injection

North Carolina rates for HCPCS J9268 · Nipent

Injection, pentostatin, 10 mg

Rates data updated July 2026.

How much does Nipent (pentostatin) cost?

$2,630per 10 mg

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $2,630 for each 10 mg of this drug. The price depends on where it is billed: about $2,630 from a physician practice, and about $2,818 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
$2,630
At a hospital outpatient department
$2,818

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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$2,630$2,570 to $2,692
FacilityA hospital or hospital-owned outpatient department$2,818$2,512 to $3,631

How much rates vary

Facilitymedian $2,818 · 10th to 90th $2,188 to $5,129Professionalmedian $2,630 · 10th to 90th $2,138 to $3,090
$2K$5Kfacility $2,818professional $2,630

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
$2,570.40
Median
$3,090.30
Typical High
$6,025.60
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$2,630.27
Typical High
$3,235.94
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$3,801.89
Typical High
$4,897.79
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,630.27
Typical High
$2,884.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$4,265.80
Typical High
$6,165.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$3,388.44
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$1,949.84
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$2,630.27
Typical High
$3,981.07
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$3,311.31
United
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$4,265.80
Typical High
$4,677.35
United
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$2,691.53
Typical High
$2,951.21
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$13,182.57
Median
$13,182.57
Typical High
$13,182.57
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$11,220.18
Median
$11,220.18
Typical High
$11,220.18

Where North Carolina sits

Rates are fairly even across states for this service. 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· 32nd of 51

$2,630

IA $2,884VA $2,630

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.