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Guselkumab Injection

California rates for HCPCS J1628 · Tremfya

Injection, guselkumab, 1 mg

Rates data updated July 2026.

How much does Tremfya (guselkumab) cost?

$81.28per mg

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $81.28 for each mg of this drug. The price depends on where it is billed: about $72.44 from a physician practice, and about $87.10 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

mg
In a doctor's office or clinic
$72.44
At a hospital outpatient department
$87.10

The same drug, in the same amount, costs 20% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

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$72.44$69.18 to $93.33
FacilityA hospital or hospital-owned outpatient department$87.10$77.62 to $135

How much rates vary

Facilitymedian $87 · 10th to 90th $74 to $166Professionalmedian $72 · 10th to 90th $68 to $135
$100$200$500facility $87professional $72

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
$69.18
Median
$134.90
Typical High
$186.21
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$72.44
Typical High
$134.90
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$85.11
Typical High
$158.49
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$75.86
Typical High
$181.97
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$87.10
Typical High
$144.54
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$91.20
Typical High
$120.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$117.49
Typical High
$158.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$74.13
Typical High
$177.83
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Providence
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$104.71
Typical High
$169.82
Providence
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$79.43
The Alliance
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$74.13
Typical High
$114.82
United
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$316.23
Typical High
$316.23
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$194.98

Where California sits

The same service costs 1.9 times more in Oklahoma than in Washington, DC. 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.

California· 12th of 51

$81.28

OK $126DC $67.61

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.