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Etanercept Injection

California 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?

$1,175

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $1,175 for this service. The price depends on where it is billed: about $1,072 from a physician practice, and about $1,230 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$1,072$1,047 to $1,096
FacilityA hospital or hospital-owned outpatient department$1,230$1,122 to $1,549

How much rates vary

Facilitymedian $1,230 · 10th to 90th $1,072 to $2,630Professionalmedian $1,072 · 10th to 90th $759 to $1,820
$100$200$500$1K$2K$5Kfacility $1,230professional $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
$1,071.52
Median
$2,511.89
Typical High
$6,456.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,071.52
Typical High
$1,819.70
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,230.27
Typical High
$1,584.89
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,047.13
Typical High
$1,995.26
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$1,096.48
Typical High
$1,548.82
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$1,621.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$2,187.76
Typical High
$2,754.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$1,230.27
Typical High
$1,819.70
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$5,370.32
Typical High
$5,370.32
Molina
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$436.52
Providence
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$1,445.44
Typical High
$2,818.38
Providence
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$1,096.48
Typical High
$1,096.48
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
United
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$2,454.71

Where California 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.

California· 7th of 51

$1,175

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.