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Adalimumab Injection

Nationwide rates for HCPCS J0135

Injection, adalimumab, 20 mg

Rates data updated July 2026.

How much does Adalimumab Injection cost?

$1,175per 20 mg

Typical negotiated rate. Nationwide, July 2026.

Insurers have agreed to pay about $1,175 for each 20 mg of this drug. The price depends on where it is billed: about $933 from a physician practice, and about $2,570 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 20 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$933
At a hospital outpatient department
$2,570

The same drug, in the same amount, costs 175% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 23 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$933$933 to $1,175
FacilityA hospital or hospital-owned outpatient department$2,570$1,820 to $4,786

How much rates vary

Facilitymedian $2,570 · 10th to 90th $912 to $9,772Professionalmedian $933 · 10th to 90th $933 to $1,778
$1.0$10.0$100.0$1.0K$10.0Kfacility $2,570professional $933

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
BCBS
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,819.70
Typical High
$3,162.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$2,570.40
Typical High
$3,019.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,000.00
Typical High
$1,174.90
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,621.81
Typical High
$3,162.28
United
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$1,778.28
Typical High
$2,238.72

What it costs in each state

The same service costs 114.8 times more in Kentucky than in Montana. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

KY $52,481MT $457

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.