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Etanercept Injection

Virginia 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?

$1,072

Typical negotiated rate. In Virginia, October 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 $1,148 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$1,148$1,023 to $1,413

How much rates vary

Facilitymedian $1,148 · 10th to 90th $776 to $1,905Professionalmedian $1,072 · 10th to 90th $1,023 to $1,148
$200$500$1K$2Kfacility $1,148professional $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
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,071.52
Median
$1,096.48
Typical High
$1,096.48
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$407.38
Median
$891.25
Typical High
$1,412.54
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$870.96
Median
$1,023.29
Typical High
$1,023.29
CareFirst
Setting
Professional
Modifier
None
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,023.29
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,148.15
Median
$1,905.46
Typical High
$2,754.23
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$204.17
Typical High
$1,288.25
Medcost
Setting
Professional
Modifier
None
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
Medcost
Setting
Facility
Modifier
None
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,659.59
Sentara
Setting
Facility
Modifier
None
Typical Low
$1,023.29
Median
$1,148.15
Typical High
$1,412.54
Sentara
Setting
Professional
Modifier
None
Typical Low
$1,023.29
Median
$1,148.15
Typical High
$1,412.54
United
Setting
Professional
Modifier
None
Typical Low
$1,047.13
Median
$1,071.52
Typical High
$1,122.02

Where Virginia 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.

Virginia· 32nd of 51

$1,072

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.