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Etanercept Injection

New York 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?

$1,072

Typical negotiated rate. In New York, July 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 $1,047 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 9 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$1,023 to $1,072
FacilityA hospital or hospital-owned outpatient department$1,047$1,023 to $1,318

How much rates vary

Facilitymedian $1,047 · 10th to 90th $891 to $2,138Professionalmedian $1,072 · 10th to 90th $891 to $1,096
$200$500$1K$2Kfacility $1,047professional $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
$1,023.29
Median
$1,096.48
Typical High
$2,570.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,023.29
Typical High
$1,096.48
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,071.52
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$812.83
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$1,621.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$5,754.40
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$1,047.13
Typical High
$1,698.24
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$1,096.48
Typical High
$1,096.48
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,071.52
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,047.13
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,348.96
United
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$1,071.52
Typical High
$1,288.25
Univera
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,174.90
Univera
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$1,023.29
Typical High
$1,230.27

Where New York 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 York· 24th of 51

$1,072

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.