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Canakinumab Injection

Pennsylvania rates for HCPCS J0638 · Ilaris

Injection, canakinumab, 1 mg

Rates data updated July 2026.

How much does Ilaris (canakinumab) cost?

$155per mg

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $155 for each mg of this drug. The price depends on where it is billed: about $151 from a physician practice, and about $224 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
$151
At a hospital outpatient department
$224

The same drug, in the same amount, costs 48% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$151$148 to $162
FacilityA hospital or hospital-owned outpatient department$224$151 to $389

How much rates vary

Facilitymedian $224 · 10th to 90th $148 to $437Professionalmedian $151 · 10th to 90th $148 to $229
$200.0$1.0K$5.0K$20.0Kfacility $224professional $151

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
$147.91
Median
$229.09
Typical High
$416.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$151.36
Typical High
$295.12
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$162.18
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$524.81
Typical High
$562.34
Cigna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$257.04
Typical High
$257.04
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$229.09
Typical High
$416.87
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$151.36
Typical High
$389.05
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$173.78
Typical High
$295.12
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$138.04
United
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
United
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$204.17

Where Pennsylvania 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.

Pennsylvania $155 · 28th 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.