go back

C1 Esterase Inhibitor (Berinert) Injection

Michigan 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?

$77.62per 10 units

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $77.62 for each 10 units of this drug. The price depends on where it is billed: about $77.62 from a physician practice, and about $138 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
$77.62
At a hospital outpatient department
$138

The same drug, in the same amount, costs 78% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$77.62$75.86 to $77.62
FacilityA hospital or hospital-owned outpatient department$138$77.62 to $214

How much rates vary

Facilitymedian $138 · 10th to 90th $78 to $245Professionalmedian $78 · 10th to 90th $74 to $102
$100$200$500facility $138professional $78

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
$77.62
Median
$138.04
Typical High
$218.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$138.04
BCBS
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$134.90
Typical High
$288.40
BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$77.62
Typical High
$77.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$75.86
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$190.55
Typical High
$245.47
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$77.62
Typical High
$102.33
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
United
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
United
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$85.11

Where Michigan 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.

Michigan· 31st of 51

$77.62

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.