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Omalizumab Injection

Ohio rates for HCPCS J2357 · Xolair, Xolair PFS

Injection, omalizumab, 5 mg

Rates data updated July 2026.

How much does Omalizumab Injection cost?

$2,688per dose

One 294 mg dose, at the doctor's office rate. In Ohio, July 2026.

Negotiated ratewhat insurers pay per 5 mg of the drug
$45.71 / 5 mg
Average doseacross Medicare claims, discarded units included
× 294 mg
One dosedrug only; giving it and the visit are billed separately
$2,688

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
$2,688
At a hospital outpatient department
$4,779

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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 8 insurance carriers under federal price transparency rules.

Where the price changes

Given atPer 5 mgPer 294 mg dose
Doctor's office or clinic$45.71$2,688
Hospital outpatient department$81.28$4,779

How much rates vary

Facilitymedian $81 · 10th to 90th $42 to $135Professionalmedian $46 · 10th to 90th $42 to $91
$50$100$200facility $81professional $46

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
$41.69
Median
$83.18
Typical High
$117.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$45.71
Typical High
$91.20
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$67.61
Typical High
$147.91
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$48.98
Typical High
$75.86
CareSource
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
CareSource
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$89.13
Typical High
$138.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$61.66
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$89.13
Typical High
$338.84
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$41.69
Molina
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$56.23
Typical High
$64.57
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$70.79
Typical High
$97.72
United
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$89.13
United
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$48.98

Where Ohio sits

The same service costs 2.3 times more in Delaware than in Massachusetts. 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.

Ohio· 6th of 51

$53.70

DE $97.72MA $41.69

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.