How much does Cosela (trilaciclib) cost?

$5.50per mg

Typical negotiated rate. In Washington, DC, October 2026.

Insurers have agreed to pay about $5.50 for each mg of this drug. The price depends on where it is billed: about $5.50 from a physician practice, and about $10.23 from a hospital or other facility.

Work out the cost of a dose

This drug is priced per mg. Enter the amount given to see what insurers have agreed to pay for it.

Amount givenmg

In a doctor's office or clinic: $5.50
At a hospital outpatient department: $10.23

The same drug, in the same amount, costs 86% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$5.50	$5.13 to $5.50
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$10.23	$5.50 to $12.30

How much rates vary

Facilitymedian $10 · 10th to 90th $5 to $15Professionalmedian $5 · 10th to 90th $5 to $7

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier None Typical Low $5.50 Median $5.50 Typical High $5.50	Facility	None	$5.50	$5.50	$5.50
Aetna Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $5.50	Professional	None	$5.50	$5.50	$5.50
CareFirst Setting Professional Modifier None Typical Low $5.13 Median $5.50 Typical High $5.50	Professional	None	$5.13	$5.50	$5.50
Cigna Setting Facility Modifier None Typical Low $8.32 Median $11.22 Typical High $19.50	Facility	None	$8.32	$11.22	$19.50
Cigna Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $6.92	Professional	None	$5.50	$5.50	$6.92
Kaiser Permanente Setting Professional Modifier None Typical Low $4.68 Median $4.68 Typical High $5.50	Professional	None	$4.68	$4.68	$5.50
United Setting Facility Modifier None Typical Low $5.50 Median $5.50 Typical High $5.50	Facility	None	$5.50	$5.50	$5.50
United Setting Professional Modifier None Typical Low $5.50 Median $6.17 Typical High $8.32	Professional	None	$5.50	$6.17	$8.32

Where Washington, DC sits

The same service costs 1.9 times more in Alaska than in New Mexico. 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.

Washington, DC· 50th of 51

$5.50

AK $10.23NM $5.50

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.