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Factor IX (Recombinant) Injection

New York rates for HCPCS J7195 · BeneFIX

Injection, Factor IX (antihemophilic factor, recombinant) per IU, not otherwise specified

Rates data updated July 2026.

How much does BeneFIX cost?

$1.86

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $1.86 for this service. The price depends on where it is billed: about $1.82 from a physician practice, and about $2.40 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 9 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$1.82$1.82 to $1.91
FacilityA hospital or hospital-owned outpatient department$2.40$1.82 to $3.02

How much rates vary

Facilitymedian $2 · 10th to 90th $2 to $4Professionalmedian $2 · 10th to 90th $2 to $3
$2$5$10facility $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
$1.82
Median
$2.57
Typical High
$4.27
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$1.82
Typical High
$4.47
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1.82
Median
$1.82
Typical High
$1.91
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$1.82
Typical High
$1.82
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1.58
Median
$1.58
Typical High
$1.66
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$1.58
Median
$1.58
Typical High
$1.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.66
Median
$2.40
Typical High
$3.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$1.82
Typical High
$7.76
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$1.74
Median
$2.24
Typical High
$6.61
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1.91
Median
$1.91
Typical High
$2.24
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$1.86
Median
$1.86
Typical High
$1.95
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.86
Median
$1.86
Typical High
$1.86
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$2.40
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$1.74
Median
$1.91
Typical High
$2.51
United
Setting
Facility
Modifier
Global
Typical Low
$1.82
Median
$1.82
Typical High
$3.02
United
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$1.91
Typical High
$3.98
Univera
Setting
Facility
Modifier
Global
Typical Low
$1.86
Median
$1.86
Typical High
$2.14
Univera
Setting
Professional
Modifier
Global
Typical Low
$1.26
Median
$1.86
Typical High
$2.24

Where New York sits

The same service costs 2.4 times more in Delaware than in Vermont. 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.

New York· 37th of 51

$1.86

DE $4.37VT $1.82

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.