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Guselkumab Injection

Indiana rates for HCPCS J1628 · Tremfya

Injection, guselkumab, 1 mg

Rates data updated July 2026.

How much does Tremfya (guselkumab) cost?

$102per mg

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $102 for each mg of this drug. The price depends on where it is billed: about $69.18 from a physician practice, and about $102 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
$69.18
At a hospital outpatient department
$102

The same drug, in the same amount, costs 48% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 5 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$69.18$67.61 to $72.44
FacilityA hospital or hospital-owned outpatient department$102$97.72 to $135

How much rates vary

Facilitymedian $102 · 10th to 90th $69 to $224Professionalmedian $69 · 10th to 90th $68 to $102
$100$200$500facility $102professional $69

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
$354.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$69.18
Typical High
$69.18
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$102.33
Typical High
$134.90
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$112.20
CareSource
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$114.82
Typical High
$151.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$186.21
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$87.10
United
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$117.49
Typical High
$144.54
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$144.54

Where Indiana 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.

Indiana· 4th of 51

$102

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.