go back

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 October 2026.

How much does Etanercept Injection cost?

$603

Typical negotiated rate. In Kentucky, October 2026.

Insurers have agreed to pay about $603 for this service. The price depends on where it is billed: about $603 from a physician practice, and about $490 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$603$603 to $1,072
FacilityA hospital or hospital-owned outpatient department$490$468 to $1,023

How much rates vary

Facilitymedian $490 · 10th to 90th $123 to $1,259Professionalmedian $603 · 10th to 90th $457 to $1,230
$200$500$1K$2K$5Kfacility $490professional $603

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
$1,023.29
Median
$1,023.29
Typical High
$1,023.29
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,071.52
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$467.74
Median
$489.78
Typical High
$1,258.93
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$407.38
Median
$602.56
Typical High
$602.56
CareSource
Setting
Facility
Modifier
None
Typical Low
$123.03
Median
$123.03
Typical High
$199.53
CareSource
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$123.03
Typical High
$123.03
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$3,801.89
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,096.48
Median
$5,754.40
Typical High
$5,754.40
United
Setting
Professional
Modifier
None
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,071.52

Where Kentucky 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.

Kentucky· 49th of 51

$603

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.