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Ado-Trastuzumab Emtansine Injection

North Carolina rates for HCPCS J9354 · Kadcyla

Injection, ado-trastuzumab emtansine, 1 mg

Rates data updated July 2026.

How much does Kadcyla (ado-trastuzumab emtansine) cost?

$43.65per mg

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $43.65 for each mg of this drug. The price depends on where it is billed: about $43.65 from a physician practice, and about $45.71 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
$43.65
At a hospital outpatient department
$45.71

The same drug, in the same amount, costs 5% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$43.65$39.81 to $44.67
FacilityA hospital or hospital-owned outpatient department$45.71$38.90 to $66.07

How much rates vary

Facilitymedian $46 · 10th to 90th $36 to $81Professionalmedian $44 · 10th to 90th $30 to $50
$50$100facility $46professional $44

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
$36.31
Median
$64.57
Typical High
$89.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$42.66
Typical High
$60.26
BCBS
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$69.18
Typical High
$87.10
BCBS
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$44.67
Typical High
$48.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$81.28
Typical High
$100.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$50.12
Medcost
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$42.66
Typical High
$64.57
Medcost
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
United
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$69.18
Typical High
$77.62
United
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$44.67
Typical High
$46.77
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$4,073.80

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· 8th of 51

$43.65

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.