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Etanercept Injection

New Jersey 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?

$1,096

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $1,096 for this service. The price depends on where it is billed: about $1,072 from a physician practice, and about $1,698 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 4 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$1,047 to $1,096
FacilityA hospital or hospital-owned outpatient department$1,698$1,445 to $2,570

How much rates vary

Facilitymedian $1,698 · 10th to 90th $1,096 to $10,715Professionalmedian $1,072 · 10th to 90th $891 to $1,660
$200$500$1K$2K$5K$10K$20Kfacility $1,698professional $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
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,659.59
Typical High
$2,754.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,071.52
Typical High
$1,659.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,096.48
Typical High
$1,513.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,288.25
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$10,715.19
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,047.13
United
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$954.99
Typical High
$1,737.80
United
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,230.27

Where New Jersey 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.

New Jersey· 18th of 51

$1,096

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.