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Etanercept Injection

Arizona rates for HCPCS J1438

Injection, etanercept, 25 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 Etanercept Injection cost?

$1,259

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $1,259 for this service. The price depends on where it is billed: about $1,072 from a physician practice, and about $2,399 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 5 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$1,072$1,047 to $1,259
FacilityA hospital or hospital-owned outpatient department$2,399$1,820 to $4,169

How much rates vary

Facilitymedian $2,399 · 10th to 90th $1,047 to $6,166Professionalmedian $1,072 · 10th to 90th $1,023 to $1,259
$1K$2K$5Kfacility $2,399professional $1,072

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
$1,513.56
Median
$2,238.72
Typical High
$4,073.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,071.52
Typical High
$1,258.93
BCBS
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$3,890.45
Typical High
$7,079.46
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$2,041.74
Typical High
$7,413.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,737.80
Typical High
$2,041.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
Medica
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$1,096.48
Typical High
$1,412.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,023.29
United
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$2,137.96
United
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,071.52

Where Arizona sits

The same service costs 6.6 times more in Colorado than in Montana. 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.

Arizona· 5th of 51

$1,259

CO $1,778MT $269

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.