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Etanercept Injection

North Carolina 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 $955 · 10th–90th $288$1,5850%20%10th90th$955Professionalmedian $891 · 10th–90th $891$1,0960%50%90th$891$100.0$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
$288.40
Median
$891.25
Typical High
$1,096.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$1,096.48
BCBS
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$1,122.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,621.81
Typical High
$2,570.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,230.27
Medcost
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$954.99
Typical High
$1,071.52
United
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$2,137.96
Typical High
$2,238.72
United
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,380.38
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$5,370.32
Typical High
$5,370.32