How much does Idelvion (coagulation factor ix recombinant human) cost?

$6.03per IU

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $6.03 for each IU of this drug. The price depends on where it is billed: about $5.89 from a physician practice, and about $6.61 from a hospital or other facility.

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.

Amount givenIU

In a doctor's office or clinic: $5.89
At a hospital outpatient department: $6.61

The same drug, in the same amount, costs 12% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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.

Prices by location type

Billed by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$5.89	$5.37 to $6.61
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$6.61	$5.89 to $6.92

How much rates vary

Facilitymedian $7 · 10th to 90th $5 to $10Professionalmedian $6 · 10th to 90th $5 to $7

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $6.03	Professional	None	$6.03	$6.03	$6.03
Cigna Setting Facility Modifier None Typical Low $5.89 Median $5.89 Typical High $13.18	Facility	None	$5.89	$5.89	$13.18
Cigna Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $5.89	Professional	None	$5.50	$5.50	$5.89
MountainHealth Co-op Setting Facility Modifier None Typical Low $5.37 Median $6.61 Typical High $8.71	Facility	None	$5.37	$6.61	$8.71
MountainHealth Co-op Setting Professional Modifier None Typical Low $5.37 Median $6.61 Typical High $7.41	Professional	None	$5.37	$6.61	$7.41
Providence Setting Facility Modifier None Typical Low $5.89 Median $5.89 Typical High $13.18	Facility	None	$5.89	$5.89	$13.18
Providence Setting Professional Modifier None Typical Low $5.89 Median $6.03 Typical High $6.03	Professional	None	$5.89	$6.03	$6.03
United Setting Professional Modifier None Typical Low $5.37 Median $5.37 Typical High $5.37	Professional	None	$5.37	$5.37	$5.37

Where Montana sits

The same service costs 1.7 times more in Alaska than in Nebraska. 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.

Montana· 10th of 51

$6.03

AK $9.33NE $5.37

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.