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Certolizumab Pegol Injection

New York 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 New York, July 2026.

Insurers have agreed to pay about $3.98 for this service. The price depends on where it is billed: about $3.89 from a physician practice, and about $4.90 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 9 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$3.89$3.80 to $5.62
FacilityA hospital or hospital-owned outpatient department$4.90$3.89 to $6.61

How much rates vary

Facilitymedian $5 · 10th to 90th $4 to $8Professionalmedian $4 · 10th to 90th $4 to $12
$5$10$20$50facility $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
$5.37
Typical High
$8.32
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$4.27
Typical High
$13.80
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$3.80
Typical High
$3.98
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$3.80
Typical High
$3.80
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$6.31
Median
$6.31
Typical High
$6.61
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$6.31
Typical High
$6.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.17
Median
$5.01
Typical High
$8.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$3.80
Typical High
$16.22
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$3.55
Median
$4.68
Typical High
$13.80
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$3.89
Typical High
$7.08
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$3.89
Median
$3.89
Typical High
$4.07
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$3.89
Typical High
$4.07
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$5.89
Typical High
$7.76
United
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$3.80
Typical High
$6.31
United
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$4.17
Typical High
$13.80
Univera
Setting
Facility
Modifier
Global
Typical Low
$3.89
Median
$3.89
Typical High
$4.57
Univera
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$4.07
Typical High
$4.68

Where New York 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.

New York· 32nd 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.