go back

Porfimer Injection

South Dakota rates for HCPCS J9600

Injection, porfimer sodium, 75 mg

Rates data updated July 2026.

How much does Porfimer Injection cost?

$23,988per 75 mg

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $23,988 for each 75 mg of this drug. The price depends on where it is billed: about $23,988 from a physician practice, and about $26,915 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
$23,988
At a hospital outpatient department
$26,915

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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 7 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$23,988$3,981 to $25,704
FacilityA hospital or hospital-owned outpatient department$26,915$26,915 to $28,184

How much rates vary

Facilitymedian $26,915 · 10th to 90th $22,387 to $39,811Professionalmedian $23,988 · 10th to 90th $3,162 to $28,184
$2K$5K$10K$20K$50K$100Kfacility $26,915professional $23,988

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
$22,387.21
Median
$28,183.83
Typical High
$28,183.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22,387.21
Median
$28,183.83
Typical High
$28,183.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$3,630.78
Typical High
$4,073.80
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$28,183.83
Typical High
$46,773.51
Medica
Setting
Professional
Modifier
Global
Typical Low
$23,442.29
Median
$25,703.96
Typical High
$102,329.30
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$2,884.03
Typical High
$3,019.95
Midlands
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$4,073.80
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$23,988.33
Median
$23,988.33
Typical High
$23,988.33
United
Setting
Professional
Modifier
Global
Typical Low
$23,442.29
Median
$24,547.09
Typical High
$27,542.29
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$26,915.35
Median
$26,915.35
Typical High
$26,915.35
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$26,915.35
Median
$26,915.35
Typical High
$26,915.35

Where South Dakota 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.

South Dakota· 17th of 51

$23,988

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.