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Etanercept Injection

Texas 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 negotiated rate. In Texas, October 2026.

Insurers have agreed to pay about $1,096 for this service. The price depends on where it is billed: about $1,072 from a physician practice, and about $1,479 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,072$1,023 to $1,096
FacilityA hospital or hospital-owned outpatient department$1,479$1,047 to $1,950

How much rates vary

Facilitymedian $1,479 · 10th to 90th $550 to $2,754Professionalmedian $1,072 · 10th to 90th $759 to $1,096
$200$500$1K$2K$5K$10Kfacility $1,479professional $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
$1,621.81
Typical High
$2,238.72
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$524.81
Median
$812.83
Typical High
$1,122.02
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$208.93
Median
$323.59
Typical High
$446.68
Aetna
Setting
Facility
Modifier
55 · Aftercare only
Typical Low
$158.49
Median
$245.47
Typical High
$331.13
Aetna
Setting
Facility
Modifier
56 · Pre-op care only
Typical Low
$104.71
Median
$162.18
Typical High
$223.87
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,023.29
Median
$1,047.13
Typical High
$1,230.27
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$512.86
Median
$524.81
Typical High
$616.60
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$204.17
Median
$208.93
Typical High
$245.47
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$154.88
Median
$158.49
Typical High
$181.97
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$102.33
Median
$104.71
Typical High
$123.03
BCBS Texas
Setting
Facility
Modifier
None
Typical Low
$575.44
Median
$1,479.11
Typical High
$2,454.71
BCBS Texas
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,096.48
Median
$1,621.81
Typical High
$3,467.37
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
Moda Health
Setting
Facility
Modifier
None
Typical Low
$407.38
Median
$1,479.11
Typical High
$2,137.96
Moda Health
Setting
Professional
Modifier
None
Typical Low
$1,023.29
Median
$1,047.13
Typical High
$1,071.52
Moda Health
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$512.86
Median
$524.81
Typical High
$524.81
Moda Health
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$204.17
Median
$208.93
Typical High
$208.93
Moda Health
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$154.88
Median
$158.49
Typical High
$158.49
Moda Health
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$102.33
Median
$104.71
Typical High
$104.71
Molina
Setting
Professional
Modifier
None
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,047.13
Providence
Setting
Facility
Modifier
None
Typical Low
$407.38
Median
$1,230.27
Typical High
$9,332.54
Providence
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
$1,071.52
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,023.29

Where Texas 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.

Texas· 18th 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.