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Certolizumab Pegol Injection

Massachusetts rates for HCPCS J0717 · Cimzia

Injection, certolizumab pegol, 1 mg (code may be used for Medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered)

Rates data updated July 2026.

How much does Cimzia (certolizumab pegol) cost?

$3.80

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $3.80 for this service. The price depends on where it is billed: about $3.80 from a physician practice, and about $4.68 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3.80$3.80 to $3.98
FacilityA hospital or hospital-owned outpatient department$4.68$3.80 to $6.61

How much rates vary

Facilitymedian $5 · 10th to 90th $4 to $10Professionalmedian $4 · 10th to 90th $4 to $6
$10$100$1Kfacility $5professional $4

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
$3.80
Median
$5.25
Typical High
$11.22
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$3.80
Typical High
$4.17
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$8.71
Typical High
$11.48
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$3.89
Typical High
$16.22
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$3.80
Typical High
$7.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.90
Median
$7.94
Typical High
$16.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$3.80
Typical High
$5.75
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$5.50
Typical High
$6,918.31
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$3.80
Typical High
$6.92
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$8.71
Typical High
$11.48
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$3.89
Typical High
$16.22
United
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$3.80
Typical High
$8.13
United
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$3.89
Typical High
$16.22

Where Massachusetts sits

The same service costs 5.0 times more in Wyoming than in West Virginia. 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.

Massachusetts· 46th of 51

$3.80

WY $19.05WV $3.80

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.