go back

Factor VIII (Xyntha) Injection

North Carolina rates for HCPCS J7185

Injection, Factor VIII (antihemophilic factor, recombinant) (Xyntha), per IU

Rates data updated July 2026.

How much does Xyntha cost?

$1.82per IU

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $1.82 for each IU of this drug. The price depends on where it is billed: about $1.55 from a physician practice, and about $2.00 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 IU. Enter the amount given to see what insurers have agreed to pay for it.

IU
In a doctor's office or clinic
$1.55
At a hospital outpatient department
$2.00

The same drug, in the same amount, costs 29% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1.55$1.29 to $2.00
FacilityA hospital or hospital-owned outpatient department$2.00$1.78 to $2.63

How much rates vary

Facilitymedian $2 · 10th to 90th $1 to $11Professionalmedian $2 · 10th to 90th $1 to $3
$1.0$2.0$5.0$10.0$20.0$50.0$100.0facility $2professional $2

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
$1.29
Median
$2.00
Typical High
$10.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.55
Typical High
$2.57
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1.51
Median
$2.24
Typical High
$3.02
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.17
Median
$1.17
Typical High
$1.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.70
Median
$2.24
Typical High
$3.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.48
Median
$1.48
Typical High
$2.29
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1.29
Median
$1.58
Typical High
$1.78
United
Setting
Facility
Modifier
Global
Typical Low
$1.48
Median
$2.45
Typical High
$2.95
United
Setting
Professional
Modifier
Global
Typical Low
$1.58
Median
$1.58
Typical High
$2.04
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00

Where North Carolina sits

The same service costs 2.2 times more in Delaware than in Georgia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

North Carolina $1.82 · 10th of 51
DE $3.24GA $1.48

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.