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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 October 2026.

How much does Etanercept Injection cost?

$1,072

Typical negotiated rate. In North Carolina, October 2026.

Insurers have agreed to pay about $1,072 for this service. The price depends on where it is billed: about $1,072 from a physician practice, and about $1,230 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$1,072$891 to $1,096
FacilityA hospital or hospital-owned outpatient department$1,230$891 to $1,622

How much rates vary

Facilitymedian $1,230 · 10th to 90th $891 to $2,291Professionalmedian $1,072 · 10th to 90th $891 to $1,288
$200$500$1K$2Kfacility $1,230professional $1,072

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
$891.25
Median
$891.25
Typical High
$1,348.96
Aetna
Setting
Professional
Modifier
None
Typical Low
$891.25
Median
$891.25
Typical High
$1,096.48
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$446.68
Median
$446.68
Typical High
$537.03
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$177.83
Median
$177.83
Typical High
$213.80
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$134.90
Median
$134.90
Typical High
$158.49
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$89.13
Median
$89.13
Typical High
$107.15
BCBS North Carolina
Setting
Facility
Modifier
None
Typical Low
$616.60
Median
$616.60
Typical High
$741.31
BCBS North Carolina
Setting
Professional
Modifier
None
Typical Low
$645.65
Median
$645.65
Typical High
$1,122.02
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,230.27
Median
$1,380.38
Typical High
$2,290.87
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,230.27
Medcost
Setting
Facility
Modifier
None
Typical Low
$891.25
Median
$891.25
Typical High
$954.99
Medcost
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
United
Setting
Professional
Modifier
None
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,380.38

Where North Carolina 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.

North Carolina· 35th of 51

$1,072

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.