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Dalbavancin Injection

Delaware rates for HCPCS J0875 · Dalvance

Injection, dalbavancin, 5 mg

Rates data updated October 2026.

How much does Dalbavancin Injection cost?

$2,053per dose

One 915 mg dose, at the doctor's office rate. In Delaware, October 2026.

Negotiated ratewhat insurers pay per 5 mg of the drug
$11.22 / 5 mg
Average doseacross Medicare claims, discarded units included
× 915 mg
One dosedrug only; giving it and the visit are billed separately
$2,053

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
$2,053
At a hospital outpatient department
$2,150

The same drug, in the same amount, costs 5% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 4 insurance carriers under federal price transparency rules.

Where the price changes

Given atPer 5 mgPer 915 mg dose
Doctor's office or clinic$11.22$2,053
Hospital outpatient department$11.75$2,150

How much rates vary

Facilitymedian $12 · 10th to 90th $11 to $100Professionalmedian $11 · 10th to 90th $11 to $20
$20$50$100facility $12professional $11

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
Aetna
Setting
Facility
Modifier
None
Typical Low
$11.22
Median
$11.22
Typical High
$29.51
Aetna
Setting
Professional
Modifier
None
Typical Low
$11.22
Median
$11.22
Typical High
$11.22
Cigna
Setting
Facility
Modifier
None
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
Cigna
Setting
Professional
Modifier
None
Typical Low
$11.22
Median
$11.22
Typical High
$63.10
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Professional
Modifier
None
Typical Low
$15.14
Median
$15.14
Typical High
$20.42

Where Delaware sits

The same service costs 1.9 times more in Texas than in Georgia. 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.

Delaware· 48th of 51

$11.75

TX $21.88GA $11.22

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.