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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.

How much does Etanercept Injection cost?

$1,047

Typical negotiated rate. In Texas, July 2026.

Insurers have agreed to pay about $1,047 for this service. The price depends on where it is billed: about $1,047 from a physician practice, and about $1,479 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 9 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$1,047$1,023 to $1,072
FacilityA hospital or hospital-owned outpatient department$1,479$1,047 to $2,138

How much rates vary

Facilitymedian $1,479 · 10th to 90th $562 to $3,236Professionalmedian $1,047 · 10th to 90th $1,023 to $1,288
$200$500$1K$2K$5Kfacility $1,479professional $1,047

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
$1,621.81
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

Where Texas 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.

Texas· 40th of 51

$1,047

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.