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C1 Esterase Inhibitor (Berinert) Injection

Maine rates for HCPCS J0597

Injection, C1 esterase inhibitor (human), Berinert, 10 units

Rates data updated July 2026.

How much does Berinert (human c1-esterase inhibitor) cost?

$79.43per 10 units

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $79.43 for each 10 units of this drug. The price depends on where it is billed: about $75.86 from a physician practice, and about $191 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
$75.86
At a hospital outpatient department
$191

The same drug, in the same amount, costs 151% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$75.86$75.86 to $79.43
FacilityA hospital or hospital-owned outpatient department$191$178 to $191

How much rates vary

Facilitymedian $191 · 10th to 90th $89 to $219Professionalmedian $76 · 10th to 90th $76 to $91
$50$100$200facility $191professional $76

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
$177.83
Median
$190.55
Typical High
$190.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$79.43
Typical High
$91.20
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$89.13
Typical High
$239.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$85.11
Typical High
$218.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$91.20
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$190.55
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$79.43
Typical High
$190.55
United
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$75.86
Typical High
$109.65

Where Maine sits

The same service costs 2.8 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.

Maine· 28th of 51

$79.43

DE $162OK $57.54

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.