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Etanercept Injection

Kentucky 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.

Facilitymedian $490 · 10th–90th $468$1,8200%50%10th90th$490Professionalmedian $1,023 · 10th–90th $501$1,0720%50%10th90th$1,023$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$2,187.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$1,023.29
Typical High
$1,071.52
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$489.78
Typical High
$1,258.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$602.56
Typical High
$602.56
CareSource
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$199.53
CareSource
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$123.03
Typical High
$123.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$3,801.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$5,754.40
Typical High
$5,754.40
United
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,071.52