How much does Kepivance (palifermin) cost?

$36.31per 50 mcg

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $36.31 for each 50 mcg of this drug. The price depends on where it is billed: about $36.31 from a physician practice, and about $39.81 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 50 mcg. Enter the amount given to see what insurers have agreed to pay for it.

Amount givenmcg

In a doctor's office or clinic: $36.31
At a hospital outpatient department: $39.81

The same drug, in the same amount, costs 10% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 4 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$36.31	$36.31 to $38.90
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$39.81	$39.81 to $39.81

How much rates vary

Facilitymedian $40 · 10th to 90th $40 to $42Professionalmedian $36 · 10th to 90th $36 to $63

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. 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 Professional Modifier Global Typical Low $36.31 Median $36.31 Typical High $63.10	Professional	Global	$36.31	$36.31	$63.10
BCBS Setting Facility Modifier Global Typical Low $39.81 Median $39.81 Typical High $39.81	Facility	Global	$39.81	$39.81	$39.81
Cigna Setting Facility Modifier Global Typical Low $39.81 Median $39.81 Typical High $41.69	Facility	Global	$39.81	$39.81	$41.69
Cigna Setting Professional Modifier Global Typical Low $36.31 Median $36.31 Typical High $39.81	Professional	Global	$36.31	$36.31	$39.81
United Setting Facility Modifier Global Typical Low $41.69 Median $41.69 Typical High $41.69	Facility	Global	$41.69	$41.69	$41.69
United Setting Professional Modifier Global Typical Low $20.42 Median $36.31 Typical High $39.81	Professional	Global	$20.42	$36.31	$39.81

Where Vermont sits

The same service costs 2.3 times more in Alaska 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.

Vermont· 43rd of 51

$36.31

AK $63.10OK $27.54

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.