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Etanercept Injection

Ohio 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?

$1,148

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $1,148 for this service. The price depends on where it is billed: about $1,023 from a physician practice, and about $2,512 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 8 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$1,023$575 to $1,202
FacilityA hospital or hospital-owned outpatient department$2,512$1,175 to $2,884

How much rates vary

Facilitymedian $2,512 · 10th to 90th $1,023 to $3,548Professionalmedian $1,023 · 10th to 90th $407 to $2,239
$500$1K$2K$5Kfacility $2,512professional $1,023

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
$2,818.38
Typical High
$3,235.94
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,047.13
Typical High
$2,818.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$2,290.87
Typical High
$6,918.31
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$512.86
Typical High
$1,148.15
CareSource
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$2,754.23
Typical High
$3,162.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,288.25
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$2,754.23
Typical High
$3,311.31
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
Molina
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$512.86
Typical High
$602.56
SummaCare
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,548.82
Typical High
$2,630.27
United
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$2,754.23
Typical High
$2,754.23
United
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,148.15

Where Ohio 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.

Ohio· 8th of 51

$1,148

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.