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Ascent

North Carolina rates for HCPCS Q4213

Ascent, 0.5 mg

Rates data updated July 2026.

How much does Ascent cost?

$58.88per 0.5 mg

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $58.88 for each 0.5 mg of this drug. The price depends on where it is billed: about $58.88 from a physician practice, and about $64.57 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 0.5 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$58.88
At a hospital outpatient department
$64.57

The same drug, in the same amount, costs 10% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$58.88$57.54 to $58.88
FacilityA hospital or hospital-owned outpatient department$64.57$58.88 to $75.86

How much rates vary

Facilitymedian $65 · 10th to 90th $58 to $115Professionalmedian $59 · 10th to 90th $55 to $69
$50$100$200facility $65professional $59

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
$58.88
Median
$58.88
Typical High
$58.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$58.88
Typical High
$58.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$60.26
Typical High
$74.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$87.10
Typical High
$138.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Medcost
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$66.07
Typical High
$87.10
United
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$114.82
Typical High
$128.82
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$309.03

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· 17th of 51

$58.88

IA $69.18IN $54.95

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.