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Ado-Trastuzumab Emtansine Injection

New Jersey rates for HCPCS J9354

Injection, ado-trastuzumab emtansine, 1 mg

Rates data updated July 2026.

How much does Ado-Trastuzumab Emtansine Injection cost?

$42.66per mg

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $42.66 for each mg of this drug. The price depends on where it is billed: about $42.66 from a physician practice, and about $67.61 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
$67.61

The same drug, in the same amount, costs 58% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$42.66$40.74 to $42.66
FacilityA hospital or hospital-owned outpatient department$67.61$54.95 to $110

How much rates vary

Facilitymedian $68 · 10th to 90th $43 to $269Professionalmedian $43 · 10th to 90th $40 to $54
$100.0$1.0K$10.0Kfacility $68professional $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
$63.10
Typical High
$114.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$63.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$48.98
Typical High
$64.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$42.66
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$43.65
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$9,549.93
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$41.69
United
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$51.29
Typical High
$77.62
United
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$40.74
Typical High
$46.77

Where New Jersey 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.

New Jersey $42.66 · 18th 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.