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Rilonacept Injection

Montana rates for HCPCS J2793

Injection, rilonacept, 1 mg

Rates data updated July 2026.

How much does Rilonacept Injection cost?

$36.31per mg

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $36.31 for each mg of this drug. The price depends on where it is billed: about $28.84 from a physician practice, and about $36.31 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
$28.84
At a hospital outpatient department
$36.31

The same drug, in the same amount, costs 26% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$28.84$28.18 to $37.15
FacilityA hospital or hospital-owned outpatient department$36.31$33.88 to $37.15

How much rates vary

Facilitymedian $36 · 10th to 90th $30 to $37Professionalmedian $29 · 10th to 90th $28 to $37
$50$100facility $36professional $29

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
Professional
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$33.88
Typical High
$74.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$33.88
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$36.31
Typical High
$37.15
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$36.31
Typical High
$37.15
Providence
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$33.88
Typical High
$74.13
Providence
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$41.69
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$28.84

Where Montana sits

The same service costs 1.8 times more in Colorado than in North Carolina. 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.

Montana· 3rd of 51

$36.31

CO $47.86NC $26.92

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.