How much does Parsabiv (etelcalcetide) cost?

$4.47per 0.1 mg

Typical negotiated rate. In Washington, DC, October 2026.

Insurers have agreed to pay about $4.47 for each 0.1 mg of this drug. The price depends on where it is billed: about $4.47 from a physician practice, and about $6.76 from a hospital or other facility.

Work out the cost of a dose

This drug is priced per 0.1 mg. Enter the amount given to see what insurers have agreed to pay for it.

Amount givenmg

In a doctor's office or clinic: $4.47
At a hospital outpatient department: $6.76

The same drug, in the same amount, costs 51% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 3 insurance carriers under federal price transparency rules.

Prices by location type

Billed by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$4.47	$4.37 to $4.47
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$6.76	$4.47 to $10.00

How much rates vary

Facilitymedian $7 · 10th to 90th $2 to $12Professionalmedian $4 · 10th to 90th $4 to $6

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier None Typical Low $4.47 Median $4.47 Typical High $4.47	Facility	None	$4.47	$4.47	$4.47
Aetna Setting Professional Modifier None Typical Low $4.47 Median $4.47 Typical High $4.47	Professional	None	$4.47	$4.47	$4.47
Cigna Setting Facility Modifier None Typical Low $6.76 Median $8.32 Typical High $12.02	Facility	None	$6.76	$8.32	$12.02
Cigna Setting Professional Modifier None Typical Low $4.47 Median $4.47 Typical High $4.47	Professional	None	$4.47	$4.47	$4.47
United Setting Facility Modifier None Typical Low $2.45 Median $2.45 Typical High $2.45	Facility	None	$2.45	$2.45	$2.45
United Setting Professional Modifier None Typical Low $4.37 Median $4.37 Typical High $7.24	Professional	None	$4.37	$4.37	$7.24

Where Washington, DC sits

The same service costs 1.8 times more in Alaska than in Kentucky. 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.

Washington, DC· 10th of 51

$4.47

AK $7.08KY $3.89

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.