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Tocilizumab (2 Years of Age and Older) Injection

Idaho 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 July 2026.

How much does Actemra (tocilizumab) cost?

$8.32per mg

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $8.32 for each mg of this drug. The price depends on where it is billed: about $8.32 from a physician practice, and about $7.59 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
$8.32
At a hospital outpatient department
$7.59

The same drug, in the same amount, costs 9% less 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$8.32$7.59 to $9.55
FacilityA hospital or hospital-owned outpatient department$7.59$6.92 to $9.77

How much rates vary

Facilitymedian $8 · 10th to 90th $7 to $13Professionalmedian $8 · 10th to 90th $8 to $10
$10facility $8professional $8

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
$7.59
Median
$7.59
Typical High
$8.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$8.32
Typical High
$9.55
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6.61
Median
$6.92
Typical High
$11.48
BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$6.61
Typical High
$7.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$7.59
Typical High
$18.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$6.76
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$9.55
Typical High
$9.55
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$9.55
Typical High
$9.55
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$9.77
Typical High
$14.45
Select Health
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$7.76
Typical High
$13.49
Select Health
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$7.59
United
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$7.59

Where Idaho sits

The same service costs 1.9 times more in Alaska than in Hawaii. 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.

Idaho· 11th of 51

$8.32

AK $12.88HI $6.61

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.