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Etanercept Injection

Idaho 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 October 2026.

How much does Etanercept Injection cost?

$1,072

Typical negotiated rate. In Idaho, October 2026.

Insurers have agreed to pay about $1,072 for this service. The price depends on where it is billed: about $1,072 from a physician practice, and about $871 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,072$166 to $1,096
FacilityA hospital or hospital-owned outpatient department$871$355 to $1,230

How much rates vary

Facilitymedian $871 · 10th to 90th $166 to $1,995Professionalmedian $1,072 · 10th to 90th $148 to $1,096
$100$200$500$1K$2Kfacility $871professional $1,072

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
Professional
Modifier
None
Typical Low
$1,071.52
Median
$1,096.48
Typical High
$1,096.48
BCBS
Setting
Facility
Modifier
None
Typical Low
$281.84
Median
$794.33
Typical High
$1,995.26
BCBS
Setting
Professional
Modifier
None
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,202.26
Median
$1,230.27
Typical High
$2,951.21
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
Moda Health
Setting
Facility
Modifier
None
Typical Low
$151.36
Median
$1,096.48
Typical High
$1,584.89
Moda Health
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$1,096.48
Typical High
$1,096.48
Molina
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$147.91
Median
$165.96
Typical High
$239.88
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$165.96
Typical High
$281.84
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$831.76
Median
$1,174.90
Typical High
$1,995.26
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
Select Health
Setting
Facility
Modifier
None
Typical Low
$467.74
Median
$549.54
Typical High
$776.25
Select Health
Setting
Professional
Modifier
None
Typical Low
$478.63
Median
$478.63
Typical High
$1,288.25
United
Setting
Professional
Modifier
None
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,698.24

Where Idaho sits

The same service costs 8.3 times more in Arizona 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.

Idaho· 25th of 51

$1,072

AZ $1,738MT $209

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.