Tocilizumab (2 Years of Age and Older) Injection

Alaska rates for HCPCS Q0249 · Actemra

Injection, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with COVID-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ECMO) only, 1 mg

Rates data updated October 2026.

How much does Actemra (tocilizumab) cost?

$12.88per mg

Typical negotiated rate. In Alaska, October 2026.

Insurers have agreed to pay about $12.88 for each mg of this drug. The price depends on where it is billed: about $11.48 from a physician practice, and about $14.13 from a hospital or other facility.

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.

Amount givenmg

In a doctor's office or clinic: $11.48
At a hospital outpatient department: $14.13

The same drug, in the same amount, costs 23% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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.

Prices by location type

Billed by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$11.48	$7.59 to $15.14
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$14.13	$11.22 to $19.95

How much rates vary

Facilitymedian $14 · 10th to 90th $8 to $49Professionalmedian $11 · 10th to 90th $7 to $25

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier None Typical Low $14.13 Median $14.13 Typical High $48.98	Facility	None	$14.13	$14.13	$48.98
Aetna Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13	Professional	None	$14.13	$14.13	$14.13
Cigna Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $6.76	Professional	None	$6.76	$6.76	$6.76
Moda Health Setting Facility Modifier None Typical Low $7.59 Median $7.59 Typical High $48.98	Facility	None	$7.59	$7.59	$48.98
Moda Health Setting Professional Modifier None Typical Low $7.59 Median $8.13 Typical High $60.26	Professional	None	$7.59	$8.13	$60.26
Premera BCBS Setting Facility Modifier None Typical Low $11.22 Median $12.88 Typical High $17.38	Facility	None	$11.22	$12.88	$17.38
Premera BCBS Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $7.59	Professional	None	$7.59	$7.59	$7.59
Providence Setting Facility Modifier None Typical Low $14.13 Median $14.13 Typical High $19.95	Facility	None	$14.13	$14.13	$19.95
Providence Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $60.26	Professional	None	$6.76	$6.76	$60.26
United Setting Professional Modifier None Typical Low $7.59 Median $11.48 Typical High $20.89	Professional	None	$7.59	$11.48	$20.89

Where Alaska sits

The same service costs 1.8 times more in Alaska than in North Dakota. 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.

Alaska· 1st of 51

$12.88

AK $12.88ND $7.08

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.