go back

C1 Esterase Inhibitor (Recombinant) Injection

Virginia 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?

$38.90per 10 units

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $38.90 for each 10 units of this drug. The price depends on where it is billed: about $36.31 from a physician practice, and about $66.07 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
$36.31
At a hospital outpatient department
$66.07

The same drug, in the same amount, costs 82% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 8 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$36.31$36.31 to $38.90
FacilityA hospital or hospital-owned outpatient department$66.07$36.31 to $91.20

How much rates vary

Facilitymedian $66 · 10th to 90th $36 to $102Professionalmedian $36 · 10th to 90th $36 to $58
$50$100facility $66professional $36

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
$77.62
Typical High
$102.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$37.15
Typical High
$38.90
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$74.13
Typical High
$125.89
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$61.66
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$57.54
Typical High
$87.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$69.18
Typical High
$91.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$36.31
Typical High
$47.86
Medcost
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$51.29
Sentara
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$40.74
Typical High
$53.70
Sentara
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$40.74
Typical High
$53.70
United
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$44.67
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$37.15
Typical High
$45.71

Where Virginia 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.

Virginia· 25th of 51

$38.90

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.