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Antithrombin III (Human) Injection

New York rates for HCPCS J7197 · Thrombate III

Antithrombin III (human), per IU

Rates data updated July 2026.

How much does Thrombate III cost?

$4.07per IU

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $4.07 for each IU of this drug. The price depends on where it is billed: about $4.07 from a physician practice, and about $5.37 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
$4.07
At a hospital outpatient department
$5.37

The same drug, in the same amount, costs 32% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 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$4.07$4.07 to $4.27
FacilityA hospital or hospital-owned outpatient department$5.37$4.07 to $7.24

How much rates vary

Facilitymedian $5 · 10th to 90th $4 to $10Professionalmedian $4 · 10th to 90th $4 to $6
$10$100$1Kfacility $5professional $4

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
$4.07
Median
$5.75
Typical High
$9.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$4.07
Typical High
$9.77
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$4.07
Typical High
$4.27
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$4.07
Typical High
$4.07
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$3.55
Median
$3.55
Typical High
$3.72
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$3.55
Typical High
$3.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.55
Median
$5.37
Typical High
$7.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$4.07
Typical High
$17.38
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$3.89
Median
$5.01
Typical High
$14.79
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$4.47
Typical High
$5.75
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$4.07
Typical High
$4.27
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$4.07
Typical High
$4.27
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$5.25
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$3.63
Typical High
$4.90
United
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$4.07
Typical High
$6.76
United
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$4.27
Typical High
$8.71
Univera
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$4.07
Typical High
$4.79
Univera
Setting
Professional
Modifier
Global
Typical Low
$2.88
Median
$4.07
Typical High
$4.90

Where New York sits

The same service costs 2.4 times more in Delaware than in Massachusetts. 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· 47th of 51

$4.07

DE $9.77MA $4.07

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.