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Ado-Trastuzumab Emtansine Injection

Utah rates for HCPCS J9354 · Kadcyla

Injection, ado-trastuzumab emtansine, 1 mg

Rates data updated July 2026.

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

$42.66per mg

Typical negotiated rate. In Utah, 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 $57.54 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
$57.54

The same drug, in the same amount, costs 35% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 7 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$57.54$48.98 to $64.57

How much rates vary

Facilitymedian $58 · 10th to 90th $49 to $98Professionalmedian $43 · 10th to 90th $43 to $52
$50$100facility $58professional $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
$48.98
Median
$48.98
Typical High
$64.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$43.65
Typical High
$52.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$57.54
Typical High
$97.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$42.66
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$42.66
Typical High
$54.95
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$85.11
Typical High
$120.23
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$46.77
Typical High
$58.88
Select Health
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
Select Health
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$43.65
Typical High
$43.65
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$42.66
Typical High
$50.12
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$42.66

Where Utah 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.

Utah· 25th of 51

$42.66

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.