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Etanercept Injection

South 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 July 2026.

How much does Etanercept Injection cost?

$1,072

Typical negotiated rate. In South Dakota, 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 $1,072 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 7 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$490 to $1,096
FacilityA hospital or hospital-owned outpatient department$1,072$1,072 to $1,288

How much rates vary

Facilitymedian $1,072 · 10th to 90th $1,072 to $1,288Professionalmedian $1,072 · 10th to 90th $389 to $1,288
$200$500$1K$2Kfacility $1,072professional $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
$1,288.25
Typical High
$1,288.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,096.48
Typical High
$1,288.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$489.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$1,412.54
Typical High
$3,019.95
Medica
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$1,023.29
Typical High
$1,023.29
Midlands
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
United
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,071.52
Typical High
$1,174.90
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,071.52
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,071.52

Where South Dakota 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.

South Dakota· 32nd 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.