go back

Etanercept Injection

Tennessee 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?

$1,096

Typical physician fee. In Tennessee, October 2026.

Insurers have agreed to pay about $1,096 for this service. Most negotiated rates run $1,072 to $1,230.

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.

How much rates vary

Facilitymedian $1,349 · 10th to 90th $1,202 to $1,905Professionalmedian $1,072 · 10th to 90th $1,072 to $1,096
$1K$2Kfacility $1,349professional $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
$1,071.52
Median
$1,348.96
Typical High
$1,584.89
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,071.52
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
BCBS Tennessee
Setting
Professional
Modifier
None
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,230.27
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,202.26
Median
$1,348.96
Typical High
$1,905.46
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
United
Setting
Professional
Modifier
None
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,096.48

Where Tennessee 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.

Tennessee· 14th of 51

$1,096

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.