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Dalbavancin Injection

Alaska rates for HCPCS J0875 · Dalvance

Injection, dalbavancin, 5 mg

Rates data updated July 2026.

How much does Dalbavancin Injection cost?

$4,704per dose

One 915 mg dose, at the doctor's office rate. In Alaska, July 2026.

Negotiated ratewhat insurers pay per 5 mg of the drug
$25.70 / 5 mg
Average doseacross Medicare claims, discarded units included
× 915 mg
One dosedrug only; giving it and the visit are billed separately
$4,704

Work out the cost of a dose

This drug is priced per 5 mg. Enter the amount given to see what insurers have agreed to pay for it. Prefilled with the average administration in Medicare claims, discarded units included.

mg
In a doctor's office or clinic
$4,704
At a hospital outpatient department
$2,770

The same drug, in the same amount, costs 41% less 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 the price changes

Given atPer 5 mgPer 915 mg dose
Doctor's office or clinic$25.70$4,704
Hospital outpatient department$15.14$2,770

How much rates vary

Facilitymedian $15 · 10th to 90th $15 to $52Professionalmedian $26 · 10th to 90th $15 to $43
$20$50$100facility $15professional $26

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
$17.38
Median
$52.48
Typical High
$97.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$28.18
Typical High
$38.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$15.14
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$15.14
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$47.86
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$23.44
Typical High
$46.77
Providence
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$41.69
Providence
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$16.22
Typical High
$60.26
United
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$31.62

Where Alaska sits

The same service costs 2.5 times more in West Virginia than in Louisiana. 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.

Alaska· 15th of 51

$16.98

WV $37.15LA $15.14

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.