go back

Certolizumab Pegol Injection

Maine 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?

$3.98

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $3.98 for this service. The price depends on where it is billed: about $3.80 from a physician practice, and about $9.55 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 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$3.80$3.80 to $3.98
FacilityA hospital or hospital-owned outpatient department$9.55$8.71 to $9.55

How much rates vary

Facilitymedian $10 · 10th to 90th $4 to $11Professionalmedian $4 · 10th to 90th $4 to $5
$5$10facility $10professional $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
$8.71
Median
$9.55
Typical High
$9.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$3.98
Typical High
$4.57
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3.72
Median
$4.37
Typical High
$12.02
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$3.80
Typical High
$3.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$4.37
Typical High
$10.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$3.80
Typical High
$3.80
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$3.80
Typical High
$4.57
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$8.71
Typical High
$9.55
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$3.98
Typical High
$5.25
United
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$3.89
Typical High
$8.13

Where Maine 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.

Maine· 33rd of 51

$3.98

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.