go back

Etanercept Injection

South 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?

$977

Typical negotiated rate. In South Carolina, October 2026.

Insurers have agreed to pay about $977 for this service. The price depends on where it is billed: about $1,072 from a physician practice, and about $692 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,072$219 to $1,175
FacilityA hospital or hospital-owned outpatient department$692$389 to $1,072

How much rates vary

Facilitymedian $692 · 10th to 90th $389 to $2,089Professionalmedian $1,072 · 10th to 90th $219 to $1,175
$200$500$1K$2Kfacility $692professional $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
$1,047.13
Median
$1,047.13
Typical High
$1,047.13
Aetna
Setting
Professional
Modifier
None
Typical Low
$891.25
Median
$1,047.13
Typical High
$1,047.13
BCBS South Carolina
Setting
Facility
Modifier
None
Typical Low
$389.05
Median
$457.09
Typical High
$1,047.13
BCBS South Carolina
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$660.69
Typical High
$1,174.90
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,230.27
Median
$2,089.30
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
Medcost
Setting
Facility
Modifier
None
Typical Low
$309.03
Median
$1,230.27
Typical High
$1,412.54
Medcost
Setting
Professional
Modifier
None
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
Molina
Setting
Professional
Modifier
None
Typical Low
$630.96
Median
$1,000.00
Typical High
$1,318.26
United
Setting
Professional
Modifier
None
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,174.90

Where South 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.

South Carolina· 48th of 51

$977

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.