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Guselkumab Injection

Tennessee rates for HCPCS J1628 · Tremfya

Injection, guselkumab, 1 mg

Rates data updated July 2026.

How much does Tremfya (guselkumab) cost?

$67.61per mg

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $67.61 for each mg of this drug. The price depends on where it is billed: about $67.61 from a physician practice, and about $100 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
$67.61
At a hospital outpatient department
$100

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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$67.61$67.61 to $72.44
FacilityA hospital or hospital-owned outpatient department$100$72.44 to $135

How much rates vary

Facilitymedian $100 · 10th to 90th $68 to $148Professionalmedian $68 · 10th to 90th $68 to $78
$100$200$500facility $100professional $68

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
$67.61
Median
$100.00
Typical High
$134.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$81.28
BCBS
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$74.13
Typical High
$74.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$97.72
Typical High
$120.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
United
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$72.44
Typical High
$144.54
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$107.15

Where Tennessee 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.

Tennessee· 48th of 51

$67.61

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.