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Canakinumab Injection

Virginia rates for HCPCS J0638 · Ilaris

Injection, canakinumab, 1 mg

Rates data updated October 2026.

How much does Ilaris (canakinumab) cost?

$155per mg

Typical negotiated rate. In Virginia, October 2026.

Insurers have agreed to pay about $155 for each mg of this drug. The price depends on where it is billed: about $155 from a physician practice, and about $269 from a hospital or other facility.

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
$155
At a hospital outpatient department
$269

The same drug, in the same amount, costs 74% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$155$148 to $155
FacilityA hospital or hospital-owned outpatient department$269$155 to $372

How much rates vary

Facilitymedian $269 · 10th to 90th $148 to $457Professionalmedian $155 · 10th to 90th $145 to $166
$100$200$500facility $269professional $155

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$154.88
Median
$154.88
Typical High
$165.96
Aetna
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$158.49
Typical High
$165.96
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$147.91
Median
$316.23
Typical High
$512.86
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$131.83
Median
$154.88
Typical High
$154.88
CareFirst
Setting
Professional
Modifier
None
Typical Low
$131.83
Median
$131.83
Typical High
$147.91
Cigna
Setting
Facility
Modifier
None
Typical Low
$229.09
Median
$295.12
Typical High
$407.38
Cigna
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$131.83
Median
$165.96
Typical High
$186.21
Medcost
Setting
Professional
Modifier
None
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Medcost
Setting
Facility
Modifier
None
Typical Low
$154.88
Median
$154.88
Typical High
$199.53
Sentara
Setting
Facility
Modifier
None
Typical Low
$144.54
Median
$154.88
Typical High
$204.17
Sentara
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$154.88
Typical High
$204.17
United
Setting
Facility
Modifier
None
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
United
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$147.91
Typical High
$158.49

Where Virginia sits

The same service costs 1.7 times more in Arizona than in Rhode Island. 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.

Virginia· 32nd of 51

$155

AZ $245RI $148

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.