go back

Methotrexate, Oral

North Carolina rates for HCPCS J8610 · Trexall

Methotrexate, oral, 2.5 mg

Rates data updated July 2026.

How much does Methotrexate, Oral cost?

$0.17per 2.5 mg

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $0.17 for each 2.5 mg of this drug. The price depends on where it is billed: about $0.15 from a physician practice, and about $0.40 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 2.5 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$0.15
At a hospital outpatient department
$0.40

The same drug, in the same amount, costs 163% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 6 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$0.15$0.15 to $0.40
FacilityA hospital or hospital-owned outpatient department$0.40$0.17 to $0.72

How much rates vary

Facilitymedian $0 · 10th to 90th $0 to $3Professionalmedian $0 · 10th to 90th $0 to $1
$0.2$0.5$1$2$5$10facility $0professional $0

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
$0.17
Median
$0.56
Typical High
$8.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.14
Median
$0.30
Typical High
$0.56
BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.32
Median
$0.38
Typical High
$0.56
BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.15
Median
$0.15
Typical High
$0.63
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.16
Median
$0.21
Typical High
$0.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.14
Median
$0.14
Typical High
$0.32
Medcost
Setting
Professional
Modifier
Global
Typical Low
$0.28
Median
$0.28
Typical High
$0.28
Medcost
Setting
Facility
Modifier
Global
Typical Low
$0.15
Median
$0.40
Typical High
$1.82
Medcost
Setting
Professional
Modifier
Global
Typical Low
$0.24
Median
$0.24
Typical High
$0.24
United
Setting
Facility
Modifier
Global
Typical Low
$0.17
Median
$0.23
Typical High
$0.28
United
Setting
Professional
Modifier
Global
Typical Low
$0.15
Median
$0.15
Typical High
$0.15
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$223.87

Where North Carolina sits

Rates are fairly even across states for this service. 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.

North Carolina· 2nd of 51

$0.17

IA $0.17DE $0.14

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.