Rho D Immune Globulin (Rhophylac) Injection

Utah rates for HCPCS J2791

Injection, Rho D immune globulin (human), (Rhophylac), intramuscular or intravenous, 100 IU

Rates data updated October 2026.

How much does Rhophylac cost?

$5.62per 100 IU

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $5.62 for each 100 IU of this drug. The price depends on where it is billed: about $4.90 from a physician practice, and about $5.62 from a hospital or other facility.

Work out the cost of a dose

This drug is priced per 100 IU. Enter the amount given to see what insurers have agreed to pay for it.

Amount givenIU

In a doctor's office or clinic: $4.90
At a hospital outpatient department: $5.62

The same drug, in the same amount, costs 15% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 5 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	$4.90	$4.79 to $5.62
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$5.62	$5.62 to $7.41

How much rates vary

Facilitymedian $6 · 10th to 90th $6 to $7Professionalmedian $5 · 10th to 90th $5 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 $5.62 Median $5.62 Typical High $5.62	Facility	None	$5.62	$5.62	$5.62
Aetna Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $5.62	Professional	None	$5.62	$5.62	$5.62
Cigna Setting Facility Modifier None Typical Low $5.62 Median $6.31 Typical High $7.41	Facility	None	$5.62	$6.31	$7.41
Cigna Setting Professional Modifier None Typical Low $4.90 Median $4.90 Typical High $4.90	Professional	None	$4.90	$4.90	$4.90
Select Health Setting Facility Modifier None Typical Low $5.25 Median $5.25 Typical High $5.25	Facility	None	$5.25	$5.25	$5.25
U of Utah Health Plan Setting Professional Modifier None Typical Low $4.37 Median $4.90 Typical High $5.75	Professional	None	$4.37	$4.90	$5.75
United Setting Professional Modifier None Typical Low $4.79 Median $4.79 Typical High $4.79	Professional	None	$4.79	$4.79	$4.79

Where Utah sits

The same service costs 2.6 times more in Texas than in Maryland. 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.

Utah· 12th of 51

$5.62

TX $12.59MD $4.79

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.