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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 July 2026.

Facilitymedian $1,479 · 10th–90th $562$3,2360%10%10th90th$1,479Professionalmedian $1,047 · 10th–90th $1,023$1,2880%50%10th90th$1,047$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,621.81
Typical High
$3,235.94
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,047.13
Typical High
$1,412.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$1,288.25
Typical High
$2,454.71
BCBS
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$2,570.40
Typical High
$7,413.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$5,370.32
Typical High
$5,370.32
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$407.38
Typical High
$1,445.44
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$263.03
Typical High
$912.01
Molina
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,047.13
Providence
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$1,230.27
Typical High
$3,467.37
Providence
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
United
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$2,041.74
Typical High
$2,137.96
United
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,071.52
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$1,288.25