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Certolizumab Pegol Injection

Rhode Island 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?

$3.89

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $3.89 for this service. The price depends on where it is billed: about $3.89 from a physician practice, and about $4.07 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 4 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$3.89 to $3.98
FacilityA hospital or hospital-owned outpatient department$4.07$3.89 to $7.41

How much rates vary

Facilitymedian $4 · 10th to 90th $4 to $12Professionalmedian $4 · 10th to 90th $4 to $4
$5$10facility $4professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$12.30
Typical High
$12.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$3.98
Typical High
$3.98
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3.89
Median
$3.89
Typical High
$4.07
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$3.89
Typical High
$3.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$3.80
Typical High
$7.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$3.80
Typical High
$3.80
United
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$3.80
Typical High
$7.41
United
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$3.89
Typical High
$3.89

Where Rhode Island 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.

Rhode Island· 43rd of 51

$3.89

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.