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Guselkumab Injection

Virginia rates for HCPCS J1628 · Tremfya

Injection, guselkumab, 1 mg

Rates data updated July 2026.

How much does Tremfya (guselkumab) cost?

$70.79per mg

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $70.79 for each mg of this drug. The price depends on where it is billed: about $69.18 from a physician practice, and about $123 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
$123

The same drug, in the same amount, costs 78% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 8 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 $70.79
FacilityA hospital or hospital-owned outpatient department$123$70.79 to $170

How much rates vary

Facilitymedian $123 · 10th to 90th $68 to $219Professionalmedian $69 · 10th to 90th $68 to $117
$100$200facility $123professional $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
$70.79
Median
$114.82
Typical High
$218.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$70.79
Typical High
$134.90
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$134.90
Typical High
$229.09
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$114.82
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$117.49
Typical High
$177.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$128.82
Typical High
$169.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$67.61
Typical High
$131.83
Medcost
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$117.49
Sentara
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$81.28
Typical High
$100.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$81.28
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$83.18
Typical High
$144.54
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$72.44
Typical High
$91.20

Where Virginia 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.

Virginia· 39th of 51

$70.79

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.