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Etanercept Injection

North Dakota 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?

$1,047

Typical negotiated rate. In North Dakota, October 2026.

Insurers have agreed to pay about $1,047 for this service. The price depends on where it is billed: about $1,023 from a physician practice, and about $1,122 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$1,023$933 to $1,122
FacilityA hospital or hospital-owned outpatient department$1,122$1,023 to $1,122

How much rates vary

Facilitymedian $1,122 · 10th to 90th $977 to $1,122Professionalmedian $1,023 · 10th to 90th $724 to $1,175
$200$500$1Kfacility $1,122professional $1,023

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,023.29
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,288.25
BCBS North Dakota
Setting
Facility
Modifier
None
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$851.14
Median
$954.99
Typical High
$1,122.02
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$1,023.29
Median
$1,148.15
Typical High
$1,348.96
BCBS North Dakota
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$169.82
Median
$190.55
Typical High
$223.87
BCBS North Dakota
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$85.11
Median
$95.50
Typical High
$112.20
Cigna
Setting
Professional
Modifier
None
Typical Low
$389.05
Median
$398.11
Typical High
$489.78
Medica
Setting
Facility
Modifier
None
Typical Low
$208.93
Median
$977.24
Typical High
$1,659.59
Medica
Setting
Professional
Modifier
None
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,148.15
United
Setting
Professional
Modifier
None
Typical Low
$912.01
Median
$1,071.52
Typical High
$1,202.26

Where North Dakota 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 Dakota· 41st of 51

$1,047

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.