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C1 Esterase Inhibitor (Recombinant) Injection

Pennsylvania rates for HCPCS J0596 · Ruconest

Injection, C1 esterase inhibitor (recombinant), Ruconest, 10 units

Rates data updated July 2026.

How much does Ruconest (c1 esterase inhibitor recombinant) cost?

$38.02per 10 units

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $38.02 for each 10 units of this drug. The price depends on where it is billed: about $37.15 from a physician practice, and about $54.95 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 units. Enter the amount given to see what insurers have agreed to pay for it.

units
In a doctor's office or clinic
$37.15
At a hospital outpatient department
$54.95

The same drug, in the same amount, costs 48% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 7 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$37.15$36.31 to $39.81
FacilityA hospital or hospital-owned outpatient department$54.95$37.15 to $95.50

How much rates vary

Facilitymedian $55 · 10th to 90th $36 to $107Professionalmedian $37 · 10th to 90th $36 to $55
$50$100$200facility $55professional $37

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
$36.31
Median
$56.23
Typical High
$102.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$37.15
Typical High
$72.44
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$39.81
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$128.82
Typical High
$138.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$63.10
Typical High
$63.10
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$54.95
Typical High
$102.33
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$37.15
Typical High
$95.50
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$42.66
Typical High
$52.48
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$37.15
United
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
United
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$51.29

Where Pennsylvania sits

The same service costs 3.0 times more in Delaware than in Oklahoma. 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.

Pennsylvania· 29th of 51

$38.02

DE $83.18OK $27.54

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.