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Canakinumab Injection

Montana rates for HCPCS J0638 · Ilaris

Injection, canakinumab, 1 mg

Rates data updated July 2026.

How much does Ilaris (canakinumab) cost?

$162per mg

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $162 for each mg of this drug. The price depends on where it is billed: about $162 from a physician practice, and about $135 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 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$162
At a hospital outpatient department
$135

The same drug, in the same amount, costs 17% less 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$162$148 to $182
FacilityA hospital or hospital-owned outpatient department$135$132 to $170

How much rates vary

Facilitymedian $135 · 10th to 90th $105 to $380Professionalmedian $162 · 10th to 90th $132 to $347
$100.0$200.0$500.0facility $135professional $162

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
Professional
Modifier
Global
Typical Low
$162.18
Median
$181.97
Typical High
$346.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$331.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$154.88
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$131.83
Typical High
$380.19
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$131.83
Typical High
$380.19
Providence
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$331.13
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$147.91
Typical High
$213.80
United
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91

Where Montana sits

The same service costs 2.2 times more in Delaware than in Hawaii. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Montana $162 · 17th of 51
DE $309HI $138

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.