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Pralatrexate Injection

North Carolina rates for HCPCS J9307 · Folotyn

Injection, pralatrexate, 1 mg

Rates data updated July 2026.

How much does Pralatrexate Injection cost?

$398per mg

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $398 for each mg of this drug. The price depends on where it is billed: about $398 from a physician practice, and about $398 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 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$398
At a hospital outpatient department
$398

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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$398$389 to $417
FacilityA hospital or hospital-owned outpatient department$398$355 to $575

How much rates vary

Facilitymedian $398 · 10th to 90th $251 to $794Professionalmedian $398 · 10th to 90th $355 to $631
$200$500$1Kfacility $398professional $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
$218.78
Median
$398.11
Typical High
$933.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$389.05
Typical High
$467.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$588.84
Typical High
$707.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$707.95
Typical High
$707.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$741.31
Typical High
$933.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$426.58
Medcost
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
Medcost
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$389.05
Typical High
$588.84
Medcost
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$645.65
Typical High
$724.44
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$407.38
Typical High
$436.52
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$1,949.84
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$6,309.57
Median
$6,309.57
Typical High
$6,309.57

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· 8th of 51

$398

MN $417IL $389

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.