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C1 Esterase Inhibitor (Recombinant) Injection

Texas 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 Texas, 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 $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 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
$64.57

The same drug, in the same amount, costs 74% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 9 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 $37.15
FacilityA hospital or hospital-owned outpatient department$64.57$37.15 to $89.13

How much rates vary

Facilitymedian $65 · 10th to 90th $30 to $126Professionalmedian $37 · 10th to 90th $36 to $50
$50$100$200facility $65professional $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
$64.57
Typical High
$79.43
Aetna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$37.15
Typical High
$50.12
BCBS
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$70.79
Typical High
$134.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$89.13
Typical High
$245.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$37.15
Typical High
$53.70
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$36.31
Typical High
$66.07
Molina
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$37.15
Providence
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$52.48
Typical High
$114.82
Providence
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
United
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$60.26
United
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$36.31
Typical High
$48.98

Where Texas 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.

Texas· 30th 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.