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Porfimer Injection

North Carolina rates for HCPCS J9600

Injection, porfimer sodium, 75 mg

Rates data updated July 2026.

How much does Porfimer Injection cost?

$21,878per 75 mg

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $21,878 for each 75 mg of this drug. The price depends on where it is billed: about $21,878 from a physician practice, and about $23,442 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 75 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$21,878
At a hospital outpatient department
$23,442

The same drug, in the same amount, costs 7% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$21,878$3,162 to $23,988
FacilityA hospital or hospital-owned outpatient department$23,442$21,380 to $27,542

How much rates vary

Facilitymedian $23,442 · 10th to 90th $3,236 to $30,903Professionalmedian $21,878 · 10th to 90th $3,162 to $23,988
$5K$10K$20K$50Kfacility $23,442professional $21,878

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
$21,877.62
Median
$23,442.29
Typical High
$23,988.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21,877.62
Median
$23,442.29
Typical High
$23,988.33
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$5,495.41
Typical High
$6,309.57
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$4,786.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$25,703.96
Median
$38,018.94
Typical High
$56,234.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$23,988.33
Median
$23,988.33
Typical High
$23,988.33
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$2,570.40
Medcost
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$23,442.29
Typical High
$30,902.95
United
Setting
Facility
Modifier
Global
Typical Low
$33,884.42
Median
$44,668.36
Typical High
$45,708.82
United
Setting
Professional
Modifier
Global
Typical Low
$22,908.68
Median
$23,988.33
Typical High
$25,703.96
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$120,226.44
Median
$120,226.44
Typical High
$120,226.44
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$125,892.54
Median
$125,892.54
Typical High
$125,892.54

Where North Carolina sits

Rates are fairly even across states for this service. 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.

North Carolina· 51st of 51

$21,878

NJ $23,988NC $21,878

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.