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Eteplirsen Injection

Tennessee rates for HCPCS J1428 · Exondys 51

Injection, eteplirsen, 10 mg

Rates data updated October 2026.

How much does Exondys 51 (eteplirsen) cost?

$162per 10 mg

Typical physician fee. In Tennessee, October 2026.

Insurers have agreed to pay about $162 for each 10 mg of this drug. Most negotiated rates run $158 to $186.

Work out the cost of a dose

This drug is priced per 10 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$158

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

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.

How much rates vary

Facilitymedian $204 · 10th to 90th $178 to $269Professionalmedian $158 · 10th to 90th $158 to $162
$200facility $204professional $158

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$158.49
Median
$199.53
Typical High
$239.88
Aetna
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$158.49
Typical High
$162.18
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$79.43
Median
$79.43
Typical High
$81.28
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$31.62
Median
$31.62
Typical High
$32.36
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$23.99
Median
$23.99
Typical High
$24.55
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$15.85
Median
$15.85
Typical High
$16.22
BCBS Tennessee
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$158.49
Typical High
$190.55
Cigna
Setting
Facility
Modifier
None
Typical Low
$177.83
Median
$204.17
Typical High
$269.15
Cigna
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
United
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$158.49
Typical High
$162.18

Where Tennessee sits

The same service costs 1.7 times more in Arizona than in Mississippi. 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.

Tennessee· 16th of 51

$162

AZ $269MS $158

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.