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Canakinumab Injection

North Carolina rates for HCPCS J0638 · Ilaris

Injection, canakinumab, 1 mg

Rates data updated July 2026.

How much does Ilaris (canakinumab) cost?

$151per mg

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $151 for each mg of this drug. The price depends on where it is billed: about $148 from a physician practice, and about $178 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
$148
At a hospital outpatient department
$178

The same drug, in the same amount, costs 20% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$148$120 to $182
FacilityA hospital or hospital-owned outpatient department$178$151 to $224

How much rates vary

Facilitymedian $178 · 10th to 90th $120 to $316Professionalmedian $148 · 10th to 90th $120 to $224
$100$200facility $178professional $148

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
$120.23
Median
$165.96
Typical High
$316.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$147.91
Typical High
$223.87
BCBS
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$223.87
Typical High
$302.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$151.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$223.87
Typical High
$354.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$169.82
Medcost
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$147.91
Typical High
$177.83
United
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$245.47
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$190.55
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31

Where North Carolina sits

The same service costs 2.2 times more in Delaware than in Hawaii. 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· 33rd of 51

$151

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.