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Etanercept Injection

Massachusetts 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?

$977

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $977 for this service. The price depends on where it is billed: about $501 from a physician practice, and about $1,349 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 8 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$501$407 to $1,072
FacilityA hospital or hospital-owned outpatient department$1,349$1,230 to $1,778

How much rates vary

Facilitymedian $1,349 · 10th to 90th $1,096 to $2,754Professionalmedian $501 · 10th to 90th $407 to $1,096
$200$500$1K$2K$5Kfacility $1,349professional $501

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
$1,096.48
Median
$1,778.28
Typical High
$2,570.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$1,096.48
Typical High
$1,096.48
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$891.25
Typical High
$2,290.87
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$1,047.13
Typical High
$1,318.26
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$2,398.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$2,290.87
Typical High
$4,786.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,202.26
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$5,888.44
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$870.96
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$891.25
Typical High
$2,290.87
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$1,047.13
Typical High
$1,318.26
United
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$2,754.23
Typical High
$2,754.23
United
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$1,047.13
Typical High
$1,122.02

Where Massachusetts 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.

Massachusetts· 46th of 51

$977

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.