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Abatacept Injection

Ohio rates for HCPCS J0129 · Orencia

Injection, abatacept, 10 mg (code may be used for Medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered)

Rates data updated July 2026.

How much does Orencia (abatacept) cost?

$57.54

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $57.54 for this service. The price depends on where it is billed: about $45.71 from a physician practice, and about $87.10 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 8 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$45.71$44.67 to $57.54
FacilityA hospital or hospital-owned outpatient department$87.10$56.23 to $112

How much rates vary

Facilitymedian $87 · 10th to 90th $45 to $126Professionalmedian $46 · 10th to 90th $45 to $98
$50$100$200facility $87professional $46

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
$44.67
Median
$97.72
Typical High
$123.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$45.71
Typical High
$97.72
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$72.44
Typical High
$158.49
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$51.29
Typical High
$79.43
CareSource
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$43.65
CareSource
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$95.50
Typical High
$147.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$77.62
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$95.50
Typical High
$138.04
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
Molina
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$56.23
Typical High
$64.57
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$75.86
Typical High
$104.71
United
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$44.67
Typical High
$95.50
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$48.98

Where Ohio sits

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

Ohio· 8th of 51

$57.54

DE $107AL $44.67

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.