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Etanercept Injection

Montana 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?

$269

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $269 for this service. The price depends on where it is billed: about $1,072 from a physician practice, and about $251 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 5 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$251 to $1,072
FacilityA hospital or hospital-owned outpatient department$251$245 to $257

How much rates vary

Facilitymedian $251 · 10th to 90th $229 to $501Professionalmedian $1,072 · 10th to 90th $229 to $1,072
$100$200$500$1K$2Kfacility $251professional $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
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,202.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$1,096.48
Typical High
$1,096.48
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$251.19
Typical High
$269.15
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$251.19
Typical High
$269.15
Providence
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$501.19
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$151.36
Typical High
$1,096.48
United
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,071.52

Where Montana 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.

Montana· 51st of 51

$269

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.