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 July 2026.

How much does Rhophylac cost?

$9.33per 100 IU

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $9.33 for each 100 IU of this drug. The price depends on where it is billed: about $8.71 from a physician practice, and about $17.38 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 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: $8.71
At a hospital outpatient department: $17.38

The same drug, in the same amount, costs 100% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 5 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	$8.71	$5.62 to $8.91
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$17.38	$14.13 to $33.88

How much rates vary

Facilitymedian $17 · 10th to 90th $6 to $38Professionalmedian $9 · 10th to 90th $5 to $9

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier Global Typical Low $6.76 Median $17.38 Typical High $38.02	Facility	Global	$6.76	$17.38	$38.02
Aetna Setting Professional Modifier Global Typical Low $5.62 Median $8.71 Typical High $9.33	Professional	Global	$5.62	$8.71	$9.33
Cigna Setting Facility Modifier Global Typical Low $5.62 Median $6.92 Typical High $11.75	Facility	Global	$5.62	$6.92	$11.75
Cigna Setting Professional Modifier Global Typical Low $4.79 Median $4.79 Typical High $4.79	Professional	Global	$4.79	$4.79	$4.79
Select Health Setting Facility Modifier Global Typical Low $5.25 Median $5.25 Typical High $5.25	Facility	Global	$5.25	$5.25	$5.25
U of Utah Health Plan Setting Professional Modifier Global Typical Low $4.37 Median $4.79 Typical High $5.75	Professional	Global	$4.37	$4.79	$5.75
United Setting Professional Modifier Global Typical Low $4.79 Median $4.79 Typical High $4.79	Professional	Global	$4.79	$4.79	$4.79

Where Utah sits

The same service costs 4.6 times more in Maryland than in Vermont. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Utah $9.33 · 13th of 51

MD $21.88VT $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.