go back

Sebelipase Alfa Injection

Illinois rates for HCPCS J2840

Injection, sebelipase alfa, 1 mg

Rates data updated October 2026.

How much does Sebelipase Alfa Injection cost?

$525per mg

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $525 for each mg of this drug. The price depends on where it is billed: about $513 from a physician practice, and about $871 from a hospital or other facility.

Work out the cost of a dose

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

mg
In a doctor's office or clinic
$513
At a hospital outpatient department
$871

The same drug, in the same amount, costs 70% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$513$490 to $525
FacilityA hospital or hospital-owned outpatient department$871$724 to $1,288

How much rates vary

Facilitymedian $871 · 10th to 90th $537 to $1,995Professionalmedian $513 · 10th to 90th $490 to $575
$200$500$1K$2K$5Kfacility $871professional $513

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$489.78
Median
$977.24
Typical High
$1,819.70
Aetna
Setting
Professional
Modifier
None
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$645.65
Median
$831.76
Typical High
$2,951.21
Cigna
Setting
Facility
Modifier
None
Typical Low
$707.95
Median
$1,047.13
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
None
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Hally Health
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$588.84
Typical High
$676.08
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
None
Typical Low
$512.86
Median
$512.86
Typical High
$537.03
United
Setting
Facility
Modifier
None
Typical Low
$537.03
Median
$537.03
Typical High
$1,202.26
United
Setting
Professional
Modifier
None
Typical Low
$512.86
Median
$512.86
Typical High
$537.03

Where Illinois sits

The same service costs 1.7 times more in Arizona than in Hawaii. 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.

Illinois· 14th of 51

$525

AZ $851HI $490

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.