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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 October 2026.

How much does Etanercept Injection cost?

$209

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $209 for this service. The price depends on where it is billed: about $200 from a physician practice, and about $229 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$200$151 to $245
FacilityA hospital or hospital-owned outpatient department$229$182 to $257

How much rates vary

Facilitymedian $229 · 10th to 90th $158 to $447Professionalmedian $200 · 10th to 90th $79 to $1,072
$100$200$500$1K$2Kfacility $229professional $200

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
$1,202.26
Typical High
$2,511.89
Cigna
Setting
Facility
Modifier
None
Typical Low
$229.09
Median
$229.09
Typical High
$501.19
Cigna
Setting
Professional
Modifier
None
Typical Low
$229.09
Median
$1,096.48
Typical High
$1,096.48
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$144.54
Median
$245.47
Typical High
$288.40
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$162.18
Typical High
$245.47
Providence
Setting
Facility
Modifier
None
Typical Low
$229.09
Median
$229.09
Typical High
$501.19
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$199.53
Typical High
$234.42
United
Setting
Professional
Modifier
None
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,071.52

Where Montana 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.

Montana· 51st of 51

$209

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.