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Guselkumab Injection

Tennessee rates for HCPCS J1628 · Tremfya

Injection, guselkumab, 1 mg

Rates data updated October 2026.

How much does Tremfya (guselkumab) cost?

$69.18per mg

Typical physician fee. In Tennessee, October 2026.

Insurers have agreed to pay about $69.18 for each mg of this drug. Most negotiated rates run $67.61 to $75.86.

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

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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $83 · 10th to 90th $74 to $117Professionalmedian $68 · 10th to 90th $68 to $69
$100facility $83professional $68

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
$67.61
Median
$85.11
Typical High
$102.33
Aetna
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$67.61
Typical High
$74.13
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$33.11
Median
$33.11
Typical High
$34.67
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$13.49
Median
$13.49
Typical High
$13.80
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$10.00
Median
$10.00
Typical High
$10.23
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$6.76
Median
$6.76
Typical High
$6.92
BCBS Tennessee
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$69.18
Typical High
$69.18
Cigna
Setting
Facility
Modifier
None
Typical Low
$74.13
Median
$83.18
Typical High
$117.49
Cigna
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
United
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$67.61
Typical High
$112.20

Where Tennessee sits

The same service costs 2.0 times more in Oklahoma 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.

Tennessee· 32nd of 51

$69.18

OK $135NM $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.