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Ado-Trastuzumab Emtansine Injection

Idaho rates for HCPCS J9354

Injection, ado-trastuzumab emtansine, 1 mg

Rates data updated July 2026.

How much does Ado-Trastuzumab Emtansine Injection cost?

$44.67per mg

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $44.67 for each mg of this drug. The price depends on where it is billed: about $42.66 from a physician practice, and about $48.98 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
$42.66
At a hospital outpatient department
$48.98

The same drug, in the same amount, costs 15% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$42.66$42.66 to $48.98
FacilityA hospital or hospital-owned outpatient department$48.98$43.65 to $58.88

How much rates vary

Facilitymedian $49 · 10th to 90th $43 to $69Professionalmedian $43 · 10th to 90th $43 to $56
$50.0$100.0facility $49professional $43

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
$42.66
Median
$60.26
Typical High
$69.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$58.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$47.86
Typical High
$69.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$46.77
Typical High
$51.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$60.26
Typical High
$107.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$43.65
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$45.71
Typical High
$64.57
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$44.67
Typical High
$52.48
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$42.66
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$52.48
Typical High
$100.00
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$50.12
Typical High
$52.48
Select Health
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$89.13
Select Health
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$43.65
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$44.67

Where Idaho sits

Rates are fairly even across states for this service. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Idaho $44.67 · 3rd of 51
CA $45.71NY $40.74

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.