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Certolizumab Pegol Injection

Virginia 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 Virginia, 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 $7.41 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$7.41$3.80 to $9.55

How much rates vary

Facilitymedian $7 · 10th to 90th $4 to $11Professionalmedian $4 · 10th to 90th $4 to $9
$5$10facility $7professional $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
$7.94
Typical High
$10.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$3.98
Typical High
$10.47
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$7.59
Typical High
$12.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$3.80
Typical High
$6.31
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$6.92
Typical High
$10.47
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.25
Median
$7.08
Typical High
$9.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$3.80
Typical High
$3.80
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$3.80
Typical High
$19.05
Medcost
Setting
Facility
Modifier
Global
Typical Low
$3.89
Median
$14.45
Typical High
$15.49
Sentara
Setting
Facility
Modifier
Global
Typical Low
$3.63
Median
$5.62
Typical High
$15.85
Sentara
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$5.62
Typical High
$15.85
United
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$4.57
Typical High
$10.00
United
Setting
Professional
Modifier
Global
Typical Low
$3.72
Median
$3.89
Typical High
$4.90

Where Virginia 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.

Virginia· 34th 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.